Individual provider Active NPI

Traiana Daciana Pacurar, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Midway, GA
National Provider Identifier
1811986003
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
055131 Issued in GA
Practice address
586 Islands Highway
Midway, GA 31320
Phone
(912) 396-7050
Fax
(912) 884-4197
NPI assigned
Oct 19, 2005
Last updated
May 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 055131 GA Primary

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

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
I20140630000793 GA Practitioner - Internal Medicine 8224097829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

462 E G Miles Pkwy
Hinesville, GA 31313-4000
Phone (912) 369-9400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Liberty County CurrentSince Feb 5, 2019 Accepting new patients
Hospital Authority of Liberty County CurrentSince Feb 5, 2019 Accepting new patients
SJC Medical Group Inc CurrentSince Jun 2, 2014 Accepting new patients
Ar Medical LLC Past Accepting new patients

Locations

455 S Main St
Ste 104
Hinesville, GA 31313
Phone (912) 368-6226

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1811986003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313100919",
            "telephone_number": "912-369-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 ISLANDS HIGHWAY",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "31320",
            "telephone_number": "912-396-7050",
            "fax_number": "912-884-4197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 S Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313134354",
            "country_code": "US",
            "telephone_number": "912-876-5644",
            "fax_number": "912-877-6341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 Coastal Manor Dr SE",
            "address_purpose": "LOCATION",
            "city": "Ludowici",
            "state": "GA",
            "postal_code": "313162949",
            "country_code": "US",
            "telephone_number": "912-369-9313",
            "fax_number": "912-545-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACURAR",
        "first_name": "TRAIANA",
        "middle_name": "DACIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "GA",
            "license": "055131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midway, GA

Sources for this page

Verify at the official NPI Registry.