NPIMap

Organization Active NPI

Procare Wellness Network Inc

  • Durable Medical Equipment & Medical Supplies
  • Savannah, GA
National Provider Identifier
1861129587
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROCARE WELLNESS NETWORK INC
Practice address
340 Eisenhower Dr BLDG 500
Savannah, GA 31406-1600
Phone
(912) 348-3818
NPI assigned
Aug 3, 2022
Organization subpart
Yes
Parent organization
PROCARE WELLNESS NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Domenick Pisciotta
Title
Clinic Owner
Phone
(516) 315-4732

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

340 Eisenhower Dr BLDG 500
Savannah, GA 31406-1600

Mailing address

340 Eisenhower Dr BLDG 500
Savannah, GA 31406-1600
Phone (912) 348-3818

Other practice location 1

140 Traders Way
Pooler, GA 31322-4035
Phone (912) 348-3818

Other names 1

  • ProCare Wellness Institute of Savannah Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220906002804 GA Part B Supplier - Clinic/Group Practice 0547644841 Receives reassigned benefits from 20 practitioners
Practice locations: Savannah, GA
O20221013002895 GA DME Supplier - Multi-Specialty - Physician 0547644841 Practice locations: Savannah, GA

National Provider Directory

National Provider Directory
Part of
Procare Wellness Network Inc

Locations

140 Traders Way
Ste B
Pooler, GA 31322
Phone (806) 543-1206

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1861129587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR BLDG 500",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061600",
            "telephone_number": "912-348-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR BLDG 500",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061600",
            "telephone_number": "912-348-3818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Traders Way",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224035",
            "country_code": "US",
            "telephone_number": "912-348-3818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROCARE WELLNESS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROCARE WELLNESS NETWORK",
        "enumeration_date": "2022-08-03",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "PISCIOTTA",
        "authorized_official_first_name": "DOMENICK",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "516-315-4732"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCare Wellness Institute of Savannah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProCare Wellness Institute of Savannah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.