DR. DOUGLAS GRANVILLE GRESHAM (NPI# 1629155676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629155676 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS GRANVILLE GRESHAM |
| Credential | M.D. |
| Practice Address |
340 Eisenhower Dr 1600 Savannah GA 31406-1600 |
| Practice Telephone | 9123556029 |
| Practice Fax Number | 9123523071 |
| Mailing Telephone | 9123556029 |
| Mailing Fax Number | 9123523071 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
026286 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000286591C | 05 |
| Street Address |
340 EISENHOWER DR 1600 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952367435 | Roland Steven Summers | Specialist | 340 Eisenhower Dr, 510 Central Park, Savannah, GA 31406-1600 | 2006-04-25 |
| 1902255136 | Andrew Cupp | Dentist | 340 Eisenhower Dr, Suite 400, Savannah, GA 31406-1600 | 2016-06-08 |
| 1346606225 | Laura Danielle Taulbee | Nurse Practitioner | 340 Eisenhower Dr, Suite 1200, Savannah, GA 31406-1600 | 2016-01-08 |
| 1932574803 | Family First Therapy, LLC | Marriage & Family Therapist | 340 Eisenhower Dr, Suite #1311, Savannah, GA 31406-1600 | 2015-12-03 |
| 1982072872 | Bcg Medical Group LLC | Clinic/Center | 340 Eisenhower Dr, Suite 1200, Savannah, GA 31406-1600 | 2015-09-09 |
| 1770977266 | Optim Orthopedics, LLC | Internal Medicine | 340 Eisenhower Dr, Suite 1200, Savannah, GA 31406-1600 | 2015-03-24 |
| 1669881736 | Samantha Henley | Physician Assistant | 340 Eisenhower Dr, Suite 1200, Savannah, GA 31406-1600 | 2014-08-04 |
| 1740604784 | Lifestyles Management Resources | Clinic/Center | 340 Eisenhower Dr, Suite 1311, Savannah, GA 31406-1600 | 2014-02-11 |
| 1831432962 | R S Summers Md LLC | Preferred Provider Organization | 340 Eisenhower Dr, Suite 510, Savannah, GA 31406-1600 | 2013-03-27 |
| 1063750214 | Steven Weinman | Marriage & Family Therapist | 340 Eisenhower Dr, Suite 1311, Savannah, GA 31406-1600 | 2013-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215953583 | The Endocrine Clinic, P.C. | Internal Medicine | 705 East 70 Street, Savannah, GA 31405 | 2006-07-13 |
| 1679515894 | James A Stoever | Internal Medicine | 705 E 70th St, Savannah, GA 31405-4810 | 2006-06-12 |
| 1821037706 | Kaveh Ehsanipoor | Internal Medicine | 4750 Waters Ave Ste 452, Savannah, GA 31404 | 2006-06-06 |
| 1285021626 | Carolyn Nelson | Internal Medicine | 4849 Paulsen Street, Suite 105, Savannah, GA 31405 | 2015-04-23 |
| 1962697730 | Ismary Ojeda Decastro | Internal Medicine | 4750 Waters Ave Ste 452, Savannah, GA 31404 | 2007-09-13 |
| 1326106857 | Joseph W Dehaven | Internal Medicine | 7001 Hodgson Memorial Dr, Suite 2, Savannah, GA 31406-2549 | 2006-12-05 |
| 1689666075 | Joseph W Dehaven Md PC | Internal Medicine | 7001 Hodgson Memorial Dr, St 2, Savannah, GA 31406-2549 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427606847 | Ann W Edmundson | Internal Medicine | 15685 Rowe Rd, Milton, GA 30004-2628 | 2019-08-28 |
| 1831758846 | Diabetes and Endocrinology Associates East | Internal Medicine | 1380 Milstead Ave Ne Ste H, Conyers, GA 30012-3864 | 2019-06-12 |
| 1629453428 | Ghada Mohamed Sami Ahmed K Elshimy | Internal Medicine | 1120 15th St # Hb-5025, Augusta, GA 30912-0004 | 2015-07-22 |
| 1639552920 | Shahzeena Hafeez | Internal Medicine | 550 W Peachtree St Nw, Atlanta, GA 30308 | 2015-07-03 |
| 1295122745 | Thaer Idrees | Internal Medicine | 69 Jesse Hill Jr Dr Se Ste 200, Atlanta, GA 30303-3033 | 2015-04-22 |
| 1386056372 | Camille Frances Stanback | Internal Medicine | 550 Peachtree St Ne Ste 1950, Atlanta, GA 30308-2247 | 2014-05-23 |
| 1518377654 | John Gregory Zora | Internal Medicine | 975 Johnson Ferry Rd Ste 400, Atlanta, GA 30342-4736 | 2014-04-29 |
| 1538588249 | Wedad Rahman | Internal Medicine | 1301 Sigman Rd Ne Ste 280, Conyers, GA 30012-3947 | 2014-04-09 |
| 1427493709 | Senior Medical Systems, LLC | Internal Medicine | 220 Hills Creek Rd, Taylorsville, GA 30178-2068 | 2013-05-01 |
| 1437411592 | David Antonio Reyes Umpierrez | Internal Medicine | 550 Peachtree St Ne Fl Mot19, Atlanta, GA 30308-2247 | 2012-06-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.