Organization Active NPI

Pediatric & Adolescent Psychology

Doing business as Savannah Medical Psychology

  • Clinical Psychologist
  • Savannah, GA
National Provider Identifier
1891966925
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PEDIATRIC & ADOLESCENT PSYCHOLOGY
Doing business as
Savannah Medical Psychology
Practice address
28 Redwall Cir
Savannah, GA 31407-9039
Phone
(912) 656-5503
Fax
(912) 600-1969
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Dr. Thomas K Pedigo, ED.DNPI 1164559738
Title
Owner
Phone
(912) 656-5503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

28 Redwall Cir
Savannah, GA 31407-9039

Mailing address

28 Redwall Cir
Savannah, GA 31407-9039
Phone (912) 656-5503

Other names 1

  • Savannah Medical Psychology Doing business as

National Provider Directory

National Provider Directory

Locations

9100 White Bluff Rd
Ste 401
Savannah, GA 31406
Phone (912) 351-0875

7505 Waters Ave
Ste D5
Savannah, GA 31406
Phone (912) 656-4227

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1891966925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 REDWALL CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314079039",
            "telephone_number": "912-656-5503",
            "fax_number": "912-600-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 REDWALL CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314079039",
            "telephone_number": "912-656-5503",
            "fax_number": "912-600-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADOLESCENT PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "PEDIGO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-656-5503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Medical Psychology",
            "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 Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.