Traiana Daciana Pacurar, M.D.
Individual provider Active NPI Adolescent Medicine (Internal Medicine) Physician · Midway, GA
NPI 1811986003 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1811986003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician 207RA0000X
- License
- 055131 (GA)
- Practice address
- 586 Islands Highway
Midway, GA 31320 - Phone
- (912) 396-7050
- Fax
- (912) 884-4197
- NPI assigned
- Oct 19, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Authority of Liberty County
Practice addresses (Care Compare)
462 E G Miles Pkwy
Hinesville, GA 31313-4000
Phone (912) 369-9400
Hospital & facility affiliations
- Amedisys Home Health
- Liberty Regional Medical Center
- Candler Hospital
- St Joseph'S Hospital - Savannah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140630000793 | GA | Practitioner - Internal Medicine | 8224097829 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055131 | GA | MD | Adolescent Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Liberty County | Current |
Accepting new patients | |
| Hospital Authority of Liberty County | Current |
Accepting new patients | |
| SJC Medical Group Inc | Current |
Accepting new patients | |
| Ar Medical LLC | Past | Accepting new patients |
Locations
462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068
455 S Main St
Ste 104
Hinesville, GA 31313
Phone (912) 368-6226
73 Coastal Manor Dr SE
Ludowici, GA 31316
Phone (912) 369-9313
586 Islands Hwy
Midway, GA 31320
Phone (912) 396-7050
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
602 E 72nd St
Savannah, GA 31405
Phone (912) 819-7800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 055131 | GA | Yes |
Addresses
Primary practice location
586 Islands Highway
Midway, GA 31320
Mailing address
PO Box 919
Hinesville, GA 31310-0919
Phone (912) 369-9400
Other practice location 1
455 S Main St Ste 104
Hinesville, GA 31313-4354
Phone (912) 876-5644
Other practice location 2
73 Coastal Manor Dr SE
Ludowici, GA 31316-2949
Phone (912) 369-9313
Other providers in Midway, GA
- Mission1Heart Assisted Living Homes, LLC
- Thomas Edward Morgan
- Ashley Peter Nagel
- Jennifer Neal
- Optim Orthopedics, LLC
- Angela Parr
- Harnish Patel
- Justin Paul Pennington
- Marissa Lynn Peterson
- Prime Care Medical Services Inc
All providers in Midway, GA · Adolescent Medicine (Internal Medicine) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.