Individual provider Active NPI

Stephanie D. Ireland - Gordy, M.D.

  • Surgical Critical Care Physician
  • Savannah, GA
National Provider Identifier
1821141748
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
86742 Issued in GA
Practice address
4750 Waters Ave Ste 202
Savannah, GA 31404-6278
Phone
(912) 350-7412
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X MD29220 OR
Surgical Critical Care Physician 2086S0102X 86742 GA Primary

Addresses

Primary practice location

4750 Waters Ave Ste 202
Savannah, GA 31404-6278

Mailing address

4750 Waters Ave Ste 202
Savannah, GA 31404-6278
Phone (912) 350-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141020001711 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 6709931827 Reassigns benefits to 2 organizations
I20210421002605 GA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 6709931827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Mercer University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

4750 Waters Ave
Suite 202
Savannah, GA 31404-6278
Phone (912) 350-7020

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080

Procedures performed for Medicare patients

ProcedureNumber of procedures
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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Sep 1, 2014 Accepting new patients
Baylor College of Medicine Surgery CurrentSince Sep 1, 2014 Accepting new patients
Baylor College of Medicine Current Accepting new patients
Savannah Multispecialty Associates, LLC Surgery CurrentSince May 10, 2021 Accepting new patients
Baylor College of Medicine Surgery CurrentSince Aug 13, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Aug 13, 2014 Accepting new patients

Locations

4750 Waters Ave
Ste 452
Savannah, GA 31404
Phone (912) 350-5909

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

4750 Waters Ave
Ste 202
Savannah, GA 31404
Phone 9123505970 ext. 5994

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

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

Organizations & group practices 6

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 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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1821141748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046278",
            "telephone_number": "912-350-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046278",
            "telephone_number": "912-350-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND - GORDY",
        "first_name": "STEPHANIE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "OR",
            "license": "MD29220",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "GA",
            "license": "86742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.