Individual provider Active NPI

Conor Forbes

  • Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1861121865
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
283720 Issued in GA
Practice address
11700 Mercy Blvd Ste 6
Savannah, GA 31419-1753
Phone
(912) 927-3434
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 283720 GA Primary

Addresses

Primary practice location

11700 Mercy Blvd Ste 6
Savannah, GA 31419-1753

Mailing address

3 Woodcock Rd Unit 3108
Savannah, GA 31404-1091
Phone (912) 659-4718

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
I20220719001353 GA Practitioner - Nurse Practitioner 6103207345 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283720GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Cardiology Group, LLC Single Specialty CurrentSince Jul 13, 2022 Accepting new patients

Locations

600 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 264-9999

11700 Mercy Blvd
Ste 1B
Savannah, GA 31419
Phone (912) 819-7878

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

11700 Mercy Blvd
Ste 6
Savannah, GA 31419
Phone (912) 961-8647

Interoperability endpoints

  • Direct secure messaging: conorforbes@cas.allscriptsdirect.net

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1861121865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODCOCK RD UNIT 3108",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314041091",
            "telephone_number": "912-659-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MERCY BLVD STE 6",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191753",
            "telephone_number": "912-927-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "CONOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "283720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.