Individual provider Active NPI

Christa McColl, NP

  • Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1821701012
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN241797 Issued in GA
Practice address
1115 Lexington Ave
Savannah, GA 31404-5502
Phone
(912) 354-4813
Fax
(912) 650-5488
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X RN241797 GA Primary

Addresses

Primary practice location

1115 Lexington Ave
Savannah, GA 31404-5502

Mailing address

PO Box 15238
Savannah, GA 31416-1938
Phone (678) 438-2386

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmccoll@thekidneydocs.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230407001015 GA Practitioner - Nurse Practitioner 1456726306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Hypertension Medical Associates PCGroup PAC ID 0244227130, 19 clinicians

Practice addresses (Care Compare)

1115 Lexington Ave
Savannah, GA 31404-5502
Phone (912) 354-4813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marshes Medical Diagnostic Clinic, PC Single Specialty Current Accepting new patients
Nephrology and Hypertension Medical Associates PC Single Specialty CurrentSince Jan 9, 2023 Accepting new patients
Nephrology and Hypertension Medical Associates PC Single Specialty CurrentSince Jan 9, 2023 Accepting new patients

Locations

3025 Shrine Rd
Ste 450
Brunswick, GA 31520
Phone (912) 264-4613

1115 Lexington Ave
Savannah, GA 31404
Phone (912) 354-4813

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": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1821701012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15238",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161938",
            "telephone_number": "678-438-2386",
            "fax_number": "912-658-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 LEXINGTON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045502",
            "telephone_number": "912-354-4813",
            "fax_number": "912-650-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLL",
        "first_name": "CHRISTA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN241797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmccoll@thekidneydocs.com",
            "affiliation": "N",
            "address_1": "1115 Lexington Ave",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314045502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.