Charles E Drake, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

21678 Issued in GA

Practice address

12345 Mercy Blvd
Savannah, GA 31419-3436

Phone

(912) 927-3046

Fax

(912) 925-0597

NPI assigned

Sep 27, 2006

Last updated

Nov 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Medical College of Georgia School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's Hospital - Savannah Hospital, Savannah, GA, CCN 110043
• Candler Hospital Hospital, Savannah, GA, CCN 110024

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Savannah Diagnostic Assoc PC

  • Specialist
  • Savannah, GA
  • NPI 1548267438
  NPD (past)
• Unified Women's Care of Georgia, LLC

  • Obstetrics & Gynecology Physician
  • Morrisville, NC
  • NPI 1578812012
  NPD (past)

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

• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  Care Compare affiliation
• Saint Joseph's Hospital, Inc.

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1063406684
  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1871684027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 MERCY BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314193436",
            "telephone_number": "912-927-3046",
            "fax_number": "912-925-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 MERCY BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314193436",
            "telephone_number": "912-927-3046",
            "fax_number": "912-925-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "21678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00250841E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "21678",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Lawrence Lynch
• Dr. Maria Jauhar Group, Inc.
• Dr. Martha B. Womack, PC
• Dr. Patricia McCoy Brown, D.M.D., PC
• Tudor Aurel Dragulescu, DMD
• Jasmine Drake, LPC
• Drawn 2 You Mobile Phlebotomy Services LLC
• Kimberly Dawn Drees
• Ariana Dremonas, D.O.
• Dominique Driessen-Espana, LCSW

• Cardiovascular Disease Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.

Verify at the official NPI Registry.