Individual provider Active NPI

Analicia Elaina Patterson, NP

  • Family Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1841874252
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN272781 Issued in GA
Practice address
107 Southern Blvd Ste 103
Savannah, GA 31405-7437
Phone
(912) 232-5900
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN272781 GA Primary

Addresses

Primary practice location

107 Southern Blvd Ste 103
Savannah, GA 31405-7437

Mailing address

13201 Poinsett Way
Pooler, GA 31322-5530
Phone (912) 659-3733

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
I20220606002205 GA Practitioner - Nurse Practitioner 7416335336 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Endocrinology LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

107 Southern Blvd
#103
Savannah, GA 31405
Phone (912) 232-5900

107 Southern Blvd
Ste 103
Savannah, GA 31405
Phone (912) 232-5900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHIECD

Organizations & group practices 1

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1841874252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 POINSETT WAY",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313225530",
            "telephone_number": "912-659-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SOUTHERN BLVD STE 103",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314057437",
            "telephone_number": "912-232-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ANALICIA",
        "middle_name": "ELAINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2022-12-19",
        "certification_date": "2022-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN272781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.