Individual provider Active NPI

Frank E. Scarbrough, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Savannah, GA
National Provider Identifier
1821159963
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
011165 Issued in GA
Practice address
4849 Paulsen St
Suite 312
Savannah, GA 31405-4423
Phone
(912) 354-1515
Fax
(912) 354-8181
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 011165 GA Primary

Addresses

Primary practice location

4849 Paulsen St
Suite 312
Savannah, GA 31405-4423

Mailing address

145 Traders Way
Suite a
Pooler, GA 31322-6005
Phone (912) 748-4365

Other identifiers 1

IdentifierTypeStateIssuer
00786376CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 18, 2016 through Aug 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Oral Surgery PC Oral and Maxillofacial Surgery PastSince Jan 1, 2000 Accepting new patients
Chatham Oral Surgery PC Oral and Maxillofacial Surgery PastSince Jan 1, 2000 Accepting new patients
Chatham Oral Surgery, PC Oral and Maxillofacial Surgery PastSince Jan 1, 2000 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821159963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 TRADERS WAY",
            "address_2": "SUITE A",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313226005",
            "telephone_number": "912-748-4365",
            "fax_number": "912-748-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST",
            "address_2": "SUITE 312",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054423",
            "telephone_number": "912-354-1515",
            "fax_number": "912-354-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBROUGH",
        "first_name": "FRANK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "011165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00786376C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.