Active NPI
Marianne A Mainer, NP
- Nurse Practitioner
- Savannah, GA
National Provider Identifier
1861868481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN209207
- Practice address
- 5 Executive Cir
Savannah, GA 31406-3345 - Phone
- (912) 691-1533
- Fax
- (912) 691-1953
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN209207 | GA | Primary |
Addresses
Primary practice location
5 Executive Cir
Savannah, GA 31406-3345
Mailing address
5 Executive Cir
Savannah, GA 31406-3345
Phone (912) 691-1533
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 US Hwy 80 E
Suite 700
Pooler, GA 31322-9566
Phone (912) 998-0040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Clinic - Esu, Inc. | Current | Accepting new patients | |
| Pineland Area Community Services Board | Current | Accepting new patients | |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients |
Locations
1215 US Highway 80 E
Ste 700
Pooler, GA 31322
Phone (912) 998-0040
4 W Altman St
Statesboro, GA 30458
Phone (912) 764-6129
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.
-
- Clinic/Center
- Pooler, GA
- NPI 1154319408
-
- Community/Behavioral Health Agency
- Statesboro, GA
- NPI 1588735252
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1861868481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 EXECUTIVE CIR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063345",
"telephone_number": "912-691-1533",
"fax_number": "912-691-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EXECUTIVE CIR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063345",
"telephone_number": "912-691-1533",
"fax_number": "912-691-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINER",
"first_name": "MARIANNE",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN209207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.