Active NPI
Lawrence J McDermott III, MD
- Pulmonary Disease Physician
- Savannah, GA
National Provider Identifier
1801838818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 069068
- Practice address
- 340 Hodgson CT
Suite #2
Savannah, GA 31406-1520 - Phone
- (912) 629-2290
- Fax
- (912) 629-2291
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 069068 | GA | Primary |
Addresses
Primary practice location
340 Hodgson CT
Suite #2
Savannah, GA 31406-1520
Mailing address
340 Hodgson CT
Suite #2
Savannah, GA 31406-1520
Phone (912) 629-2290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300033643M | Medicaid | GA | |
| 003136834A | 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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Med & Nephrology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Sinajana, GU
- NPI 1033391313
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": "1383782400000",
"number": "1801838818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 HODGSON CT",
"address_2": "SUITE #2",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314061520",
"telephone_number": "912-629-2290",
"fax_number": "912-629-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 HODGSON CT",
"address_2": "SUITE #2",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314061520",
"telephone_number": "912-629-2290",
"fax_number": "912-629-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "LAWRENCE",
"middle_name": "J",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "069068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300033643M",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003136834A",
"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 Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.