Individual provider Active NPI

Billy Darren Preuninger, MD

  • Obstetrics & Gynecology Physician
  • Richmond Hill, GA
National Provider Identifier
1861683526
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
064446 Issued in GA
Practice address
3780 US Highway 17
Richmond Hill, GA 31324-3378
Phone
(912) 756-2292
Fax
(912) 756-2289
NPI assigned
Aug 7, 2007
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 064446 GA Primary

Addresses

Primary practice location

3780 US Highway 17
Richmond Hill, GA 31324-3378

Mailing address

3780 US Highway 17
Richmond Hill, GA 31324-3378
Phone (912) 756-2292

Other identifiers 11

IdentifierTypeStateIssuer
1762424OtherCIGNA
697002675DMedicaidGA
624565OtherGAWELLCARE
P00853755OtherGARR MEDICARE
697002675CMedicaidGA
564159OtherGAWELLCARE - RICHMOND HILL OFFICE
697002675BMedicaidGA
564165OtherGAWELLCARE - SAVH OFFICE
GA1101MedicaidSC
697002675AMedicaidGA
697002675EMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bpreuninger49742@epicsav.hcadirect.net

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000278 GA Practitioner - Obstetrics/Gynecology 0648395996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

3776 US Hwy 17
Richmond Hill, GA 31324-3378
Phone (912) 350-7020

4700 Waters Ave
Savannah, GA 31404-6220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Multispecialty Associates, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2018 Accepting new patients
Savannah Health Services, LLC Past Accepting new patients

Locations

3780 US Highway 17
Richmond Hill, GA 31324
Phone (912) 756-2292

3776 US Highway 17
Richmond Hill, GA 31324
Phone (912) 346-0108

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1861683526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 US HIGHWAY 17",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243378",
            "telephone_number": "912-756-2292",
            "fax_number": "912-756-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 US HIGHWAY 17",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243378",
            "telephone_number": "912-756-2292",
            "fax_number": "912-756-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREUNINGER",
        "first_name": "BILLY",
        "middle_name": "DARREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "064446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1762424",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "697002675D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "624565",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00853755",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "697002675C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE - RICHMOND HILL OFFICE",
            "identifier": "564159",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "697002675B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE - SAVH OFFICE",
            "identifier": "564165",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA1101",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "697002675A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "697002675E",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpreuninger49742@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "3780 US Highway 17",
            "city": "Richmond Hill",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313243378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

Verify at the official NPI Registry.