Active NPI
Eduard Docu, MD
- Family Medicine Physician
- Savannah, GA
National Provider Identifier
1891777355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 056426
- Practice address
- 340 Eisenhower Dr Ste 910
Savannah, GA 31406-1609 - Phone
- (912) 354-3363
- Fax
- (912) 354-3332
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 056424 | GA | |
| Family Medicine Physician | 207Q00000X | 056426 | GA | Primary |
Addresses
Primary practice location
340 Eisenhower Dr Ste 910
Savannah, GA 31406-1609
Mailing address
340 Eisenhower Dr Ste 910
Savannah, GA 31406-1609
Phone (912) 354-3363
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046942388A | Medicaid | GA | |
| 08CBBLX | Other | GA | MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060505000157 | GA | Practitioner - Family Practice | 8224049234 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056424 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eduard Docu MD, LLC | Current | Accepting new patients | |
| SJC Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
340 Eisenhower Dr
Ste 910
Savannah, GA 31406
Phone (912) 352-4311
4849 Paulsen St
Ste 314
Savannah, GA 31405
Phone (912) 354-3363
Organizations & group practices 5
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.
-
- Rehabilitation Clinic/Center
- Pooler, GA
- NPI 1124541685
-
- Rehabilitation Clinic/Center
- Kingsland, GA
- NPI 1780264994
-
- Rehabilitation Clinic/Center
- Jesup, GA
- NPI 1831782887
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Savannah, GA
- NPI 1821082371
-
- Home Health Agency
- Hinesville, GA
- NPI 1992799449
-
- Home Health Agency
- Savannah, GA
- NPI 1255676243
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Effingham Rehab Services, LLC
Practice addresses (Care Compare)
22 W Oglethorpe Ave
Savannah, GA 31401-3702
Phone (912) 443-1400
340 Eisenhower Dr
Suite 910
Savannah, GA 31406-1609
Phone (912) 354-3363
Hospital & facility affiliations
- St Joseph'S/Candler Home Healthcare, Inc
- St Joseph'S/ Candler Home Healthcare
- Adoration Home Health
- Candler Hospital
- St Joseph'S Hospital - Savannah
- Savannah Health Services LLC Dba Memorial Health University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.86 of 100
- Quality
- 95.83
- Improvement activities
- 40
- Cost
- 85.1
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1891777355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 EISENHOWER DR STE 910",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314061609",
"telephone_number": "912-354-3363",
"fax_number": "912-354-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 EISENHOWER DR STE 910",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314061609",
"telephone_number": "912-354-3363",
"fax_number": "912-354-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCU",
"first_name": "EDUARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "056424",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "056426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046942388A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "08CBBLX",
"state": "GA"
}
],
"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 Mar 21, 2023; 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.