Individual provider Active NPI

Carmen Savelli-Herrmann, PSY.D.

  • Clinical Psychologist
  • Warner Robins, GA
National Provider Identifier
1942917356
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY004661 Issued in GA
Practice address
121 Carl Vinson Pkwy
Warner Robins, GA 31088-5817
Phone
(478) 922-1778
NPI assigned
Nov 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY004661 GA Primary

Addresses

Primary practice location

121 Carl Vinson Pkwy
Warner Robins, GA 31088-5817

Mailing address

121 Carl Vinson Pkwy
Warner Robins, GA 31088-5817
Phone (478) 922-1778

Other practice location 1

404 Corder Rd
Warner Robins, GA 31088-7194
Phone (770) 389-8100

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230302003168 GA Practitioner - Clinical Psychologist 6204209778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

6055 Lakeside Commons Dr
Suite 320
Macon, GA 31210-5791
Phone (478) 238-9344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince May 1, 2023 Accepting new patients

Locations

3300 Old Milton Pkwy
Ste 175
Alpharetta, GA 30005
Phone (470) 568-2010

3633 Wheeler Rd
Ste 365
Augusta, GA 30909
Phone (706) 432-6866

1202 Town Park Ln
Ste 300
Evans, GA 30809
Phone (706) 210-8855

6055 Lakeside Commons Dr
Ste 320
Macon, GA 31210
Phone (478) 238-9344

4849 Paulsen St
Ste 102
Savannah, GA 31405
Phone (912) 600-8800

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

275 Country Club Dr
Stockbridge, GA 30281
Phone (770) 474-8400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1942917356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CARL VINSON PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885817",
            "telephone_number": "478-922-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CARL VINSON PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885817",
            "telephone_number": "478-922-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Corder Rd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310887194",
            "country_code": "US",
            "telephone_number": "770-389-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVELLI-HERRMANN",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.