Individual provider Active NPI

David S Oliver, M.D.

  • Otolaryngic Allergy Physician
  • Savannah, GA
National Provider Identifier
1922000959
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
38323 Issued in GA
Practice address
322 Commercial Dr Ste 2
Savannah, GA 31406
Phone
(912) 355-2335
Fax
(770) 217-3339
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X 38323 GA Primary

Addresses

Primary practice location

322 Commercial Dr Ste 2
Savannah, GA 31406

Mailing address

322 Commercial Dr Ste 2
Savannah, GA 31406-3639
Phone (912) 355-2335

Other practice location 1

200 Blue Moon Xing Ste 103
Pooler, GA 31322-9698
Phone (912) 450-2336

Other identifiers 2

IdentifierTypeStateIssuer
000602588QMedicaidGA
000602588NMedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address inbox@coastalent.direct.wrshealth.com
Direct Messaging Address inbox@coastalent.direct.wrshealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000437 GA Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 1456333418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Medical University of South Carolina College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Ear Nose and Throat, LLCGroup PAC ID 7810040698, 4 clinicians

Practice addresses (Care Compare)

322 Commercial Dr
Suite 2
Savannah, GA 31406-3639
Phone (912) 355-2335

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38323GAMDOtolaryngic Allergy Physician
19210SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Ear Nose & Throat, LLC CurrentSince Apr 22, 2009 Accepting new patients
Ear, Nose & Throat Associates of Savannah, PC Past Accepting new patients
Ear, Nose & Throat Associates of Savannah, PC Past Accepting new patients
Coastal Ear Nose & Throat, LLC PastSince Apr 22, 2009 Accepting new patients
Ear, Nose & Throat Associates of Savannah, PC PastSince Jan 1, 2000 Accepting new patients

Locations

200 Blue Moon Xing
Ste 103
Pooler, GA 31322
Phone (912) 355-2335

322 Commercial Dr
Ste 2
Savannah, GA 31406
Phone (912) 355-2335

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1922000959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR STE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063639",
            "telephone_number": "912-355-2335",
            "fax_number": "912-355-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR STE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31406",
            "telephone_number": "912-355-2335",
            "fax_number": "770-217-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Blue Moon Xing Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229698",
            "country_code": "US",
            "telephone_number": "912-450-2336",
            "fax_number": "770-217-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "GA",
            "license": "38323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000602588Q",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000602588N",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inbox@coastalent.direct.wrshealth.com",
            "affiliation": "N",
            "address_1": "322 Commercial Dr Ste 2",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inbox@coastalent.direct.wrshealth.com",
            "affiliation": "N",
            "address_1": "200 Blue Moon Xing Ste 103",
            "city": "Pooler",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313229698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.