Katrina Denise Scannelli, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3469 Issued in GA

Practice address

42 Chaucer St
Savannah, GA 31410-3824

Phone

(912) 429-3749

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Katrina Denise Thompson Former name

Medicare fee-for-service enrollment

Enrolled in GA, MA, PA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Medical College of Georgia School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Physician Assistant

State licenses

Practice roles

Locations

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.

• Current Mind Care

  • Medical Physician Assistant
  • Savannah, GA
  • NPI 1720844020
  Medicare reassignment Authorized official
• Cambridge Public Health Commission

  dba Cambridge Health Alliance

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1932313228
  Medicare reassignment NPD
• Vassar Integrative Psychiatry PLLC

  • Psychiatry Physician
  • State College, PA
  • NPI 1255266029
  NPD Authorized official
• Hallmark Health Medical Associates Inc

  • Family Medicine Physician
  • Medford, MA
  • NPI 1770563900
  Medicare reassignment
• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467
  Medicare reassignment
• Nitin V Sheth MD LLC

  • Adult Mental Health Clinic/Center
  • Lewistown, PA
  • NPI 1124324017
  Medicare reassignment
• Cambridge Public Health Commission

  dba Cambridge Health Alliance

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1487603585
  NPD
• Melrosewakefield Healthcare, Inc.

  • Psychiatric Hospital Unit
  • Medford, MA
  • NPI 1891835351
  NPD
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  dba HMFP - Surgery

  • Surgery Physician
  • Boston, MA
  • NPI 1720037385
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1912981143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 E VICTORY DRIVE",
            "address_2": "SUITE E #1059",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "912-429-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CHAUCER ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314103824",
            "telephone_number": "912-429-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANNELLI",
        "first_name": "KATRINA",
        "middle_name": "DENISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "3469",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064316",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA3712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "THOMPSON",
            "middle_name": "DENISE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Saylor, NNP
• SBP Integrated Care LLC
• Erica Scales, M.C.D. CCC-SLP
• Erica Brooke Scales, BS
• Jami Beth Scanlon, DO
• Lonnie T Scarborough, M.D.
• Frank E. Scarbrough, DMD
• Glen L. Scarbrough, M.D.
• Gabrielle Scarpa
• Joan R Scarpitti, LPN

• Medical Physician Assistant in Savannah, GA
• Providers in Savannah, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.