Active NPI
Valerie Kim Conway, NP
- Nurse Practitioner
- Savannah, GA
National Provider Identifier
1790727014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN072672
- Practice address
- 5 Executive Cir
Savannah, GA 31406-3345 - Phone
- (912) 355-2400
- Fax
- (912) 355-5324
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN072672 | GA | Primary |
Addresses
Primary practice location
5 Executive Cir
Savannah, GA 31406-3345
Mailing address
5 Executive Cir
Savannah, GA 31406-3345
Phone (912) 355-2400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0776 | Medicaid | SC | |
| 10059071 | Other | GA | AMEIGROUP |
| 000764706F | Medicaid | GA | |
| 000764706I | Medicaid | GA | |
| 000764706E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pediatric Specialists LLC | Past | Accepting new patients | |
| Georgia Emergency Associates | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
-
- Emergency Medicine Physician
- Rincon, GA
- NPI 1528098290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1790727014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 EXECUTIVE CIR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063345",
"telephone_number": "912-355-2400",
"fax_number": "912-355-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EXECUTIVE CIR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063345",
"telephone_number": "912-355-2400",
"fax_number": "912-355-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "VALERIE",
"middle_name": "KIM",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN072672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0776",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMEIGROUP",
"identifier": "10059071",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000764706F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000764706I",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000764706E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.