| Skidaway Medical Group Llc | |
|
310 Eisenhower Dr Ste 12a Savannah GA 31406-2632 | |
| (912) 201-1140 | |
| Not Available |
| Full Name | Skidaway Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Eisenhower Dr Ste 12a, Savannah, Georgia |
| Authorized Official Name and Position | Brittany Wilson (MANAGER) |
| Authorized Official Contact | 9122011140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skidaway Medical Group Llc 310 Eisenhower Dr Ste 12a Savannah GA 31406-2632 Ph: (912) 201-1140 | Skidaway Medical Group Llc 310 Eisenhower Dr Ste 12a Savannah GA 31406-2632 Ph: (912) 201-1140 |
| NPI Number | 1164188413 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/11/2021 |
| Medicare PECOS PAC ID | 3173915527 |
|---|---|
| Medicare Enrollment ID | O20220118000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164188413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Joseph Roarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801004155 PECOS PAC ID: 5799840328 Enrollment ID: I20090216000316 |
| Provider Name | Jeanne M Hungerpiller |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194885640 PECOS PAC ID: 1153456892 Enrollment ID: I20100319000007 |
| Provider Name | James Portzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366485336 PECOS PAC ID: 3274593124 Enrollment ID: I20101103000381 |
| Provider Name | Delia Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619255478 PECOS PAC ID: 6406025923 Enrollment ID: I20110817000622 |
Memorial Physicians Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4731 Waters Ave, Savannah, GA 31404 Phone: 912-350-4905 Fax: 912-350-4955 | |
Mppg, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4731 Waters Ave, Savannah, GA 31404 Phone: 912-350-4905 Fax: 912-350-4955 | |
Union Mission, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Fahm St, Savannah, GA 31401 Phone: 912-495-8887 Fax: 912-495-8889 | |
Curtis V. Cooper Primary Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4451 Paulsen St, Savannah, GA 31405 Phone: 912-527-1005 Fax: 912-527-1126 | |
Dynamic Loop Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Bull St # 200, Savannah, GA 31401 Phone: 470-332-5035 Fax: 888-977-3104 | |
Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4395 Ogeechee Rd, Ste 209, Savannah, GA 31405 Phone: 912-335-8934 Fax: 912-228-3046 | |
Memorial Health Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Waters Ave, Memorial Health Hospitalists, Savannah, GA 31404 Phone: 912-350-2155 Fax: 912-350-2156 |