Individual provider Active NPI

Micah Logan Mabe, MD

  • Surgery Physician
  • Savannah, GA
National Provider Identifier
1801384664
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
100854 Issued in GA
Practice address
4700 Waters Ave BLDG 400
Savannah, GA 31404-6220
Phone
(912) 350-3438
Fax
(912) 350-9037
NPI assigned
Apr 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 100854 GA Primary

Addresses

Primary practice location

4700 Waters Ave BLDG 400
Savannah, GA 31404-6220

Mailing address

4700 Waters Ave BLDG 400
Savannah, GA 31404-6220
Phone (912) 350-3438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813004479 GA Practitioner - General Surgery 3173870151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Virginia Commonwealth University, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

4700 Waters Ave
1St Floor Mus BLDG
Savannah, GA 31404-6220
Phone (912) 350-7020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100854GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital Current Accepting new patients
Savannah Multispecialty Associates, LLC Surgery CurrentSince Aug 1, 2024 Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients
Savannah Children'S Heart Center, PC PastSince Oct 20, 2024 Accepting new patients

Locations

4700 Waters Ave
Fl 1
Savannah, GA 31404
Phone (912) 350-3438

4700 Waters Ave
Bldg 400
Savannah, GA 31404
Phone (912) 350-3438

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

1707 Meadows Ln
Ste E
Vidalia, GA 30474
Phone (912) 355-8000

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

1220 Broadcasting Rd
Ste 100
Wyomissing, PA 19610
Phone (484) 628-5673

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: micah.mabe@hca6.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1801384664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE BLDG 400",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-350-3438",
            "fax_number": "912-350-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE BLDG 400",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-350-3438",
            "fax_number": "912-350-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABE",
        "first_name": "MICAH",
        "middle_name": "LOGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "100854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.