Savannah Nephrology,Pc

LBN: Savannah Nephrology,Pc
Savannah Nephrology,Pc is an health care organization with primary practice located at 5102 Paulsen St Bldg 7 , Savannah GA 31405-4624. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Other Service Providers / Specialist is the primary health care specialty. Savannah Nephrology,Pc can be contacted via phone (912) 356-5171, or through Bazemore, James K via phone (912) 356-5171.

Contact Information

Primary practice address
5102 Paulsen St Bldg 7 Savannah GA 31405-4624
Phone: (912) 356-5171
Fax: (912) 354-7401
Website:
Map and Directions
Authorized official contact:
Name: Bazemore, James K Doctor of Medicine (MD)
Phone: (912) 356-5171

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 037953 Georgia
Other Service Providers / Specialist 174400000X 15425 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R039856 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R00079381 South Carolina

Profile Details

NPI number 1184669301
LBN Legal business name Savannah Nephrology,Pc
DBA Doing business as
Authorized official Bazemore, James K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Dec 16th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184669301 NPPES
Georgia Other CN4561 PALMETTO GBA/RR MEDICARE
Georgia MEDICAID 00597583A PALMETTO GBA/RR MEDICARE
Georgia MEDICAID 00597583C PALMETTO GBA/RR MEDICARE
Georgia MEDICAID 154255 PALMETTO GBA/RR MEDICARE
Georgia MEDICAID 00929255A PALMETTO GBA/RR MEDICARE

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