| Savannah Neurology Specialists P C | |
|
6602 Waters Ave Building C Savannah GA 31406-2716 | |
| (912) 354-7676 | |
| (912) 354-6040 |
| Full Name | Savannah Neurology Specialists P C |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6602 Waters Ave, Savannah, Georgia |
| Authorized Official Name and Position | Joanne S Johansen (C.O.O.) |
| Authorized Official Contact | 9123547676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Savannah Neurology Specialists P C 6602 Waters Ave Building C Savannah GA 31406-2716 Ph: (912) 354-7676 | Savannah Neurology Specialists P C 6602 Waters Ave Building C Savannah GA 31406-2716 Ph: (912) 354-7676 |
| NPI Number | 1629203294 |
|---|---|
| Provider Enumeration Date | 05/26/2009 |
| Last Update Date | 03/08/2013 |
| Medicare PECOS PAC ID | 8224175641 |
|---|---|
| Medicare Enrollment ID | O20091016000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629203294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 028560 (Georgia) | Primary |
| Provider Name | Wallette Widener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669580262 PECOS PAC ID: 4880649961 Enrollment ID: I20050322000552 |
| Provider Name | Leon A Hyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215026067 PECOS PAC ID: 4688616493 Enrollment ID: I20061218000390 |
| Provider Name | Katherine M Moretz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619191103 PECOS PAC ID: 2062587082 Enrollment ID: I20080826000305 |
| Provider Name | Angie R Moye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023285319 PECOS PAC ID: 7911056486 Enrollment ID: I20090513000307 |
| Provider Name | John M Hemphill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285672329 PECOS PAC ID: 6507833621 Enrollment ID: I20091020000011 |
| Provider Name | Amanda L Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679801534 PECOS PAC ID: 5698890903 Enrollment ID: I20100909001098 |
| Provider Name | Robert G Macgregor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922201912 PECOS PAC ID: 4082879754 Enrollment ID: I20120702000160 |
| Provider Name | Stephen N Donahue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164746624 PECOS PAC ID: 1557599453 Enrollment ID: I20150730010943 |
| Provider Name | Stacy L Creel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679956056 PECOS PAC ID: 0244549525 Enrollment ID: I20151028000732 |
| Provider Name | Brandi S Fleenor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730475740 PECOS PAC ID: 4385883727 Enrollment ID: I20160526000959 |
| Provider Name | Caroline S Sauers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003279258 PECOS PAC ID: 6901181247 Enrollment ID: I20170328002173 |
| Provider Name | Shelby E Calloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295272714 PECOS PAC ID: 7719259407 Enrollment ID: I20170815002924 |
| Provider Name | Jessica Sierra Letcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609376359 PECOS PAC ID: 8325386576 Enrollment ID: I20191111001530 |
| Provider Name | Amy Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659915924 PECOS PAC ID: 3577991926 Enrollment ID: I20200317002447 |
| Provider Name | John Green Malone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992773287 PECOS PAC ID: 8426185513 Enrollment ID: I20230712001163 |
| Provider Name | Jeremy Daniel Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255014882 PECOS PAC ID: 4385098532 Enrollment ID: I20230921004140 |
| Provider Name | Britni Layne-gardiner Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881375723 PECOS PAC ID: 3072960525 Enrollment ID: I20231106002590 |
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