SBP INTEGRATED CARE LLC (NPI# 1861090102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861090102 |
| Entity Type | Organization |
| Organization Name | SBP INTEGRATED CARE LLC |
| Practice Address |
310 Eisenhower Dr Ste 16 Savannah GA 31406-2632 |
| Mailing Address |
310 Eisenhower Dr Ste 5 Savannah GA 31406-2632 |
| Practice Telephone | 9124366789 |
| Practice Fax Number | 9126585883 |
| Mailing Telephone | 9126585883 |
| Mailing Fax Number | 9124366835 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | DR. KRISTI HOFSTADTER-DUKE (MANAGER) |
| Authorized Official Telephone | 9126585883 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
310 EISENHOWER DR STE 16 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841446408 | Anil Piya | Pediatrics | 310 Eisenhower Dr Ste 16, Savannah, GA 31406-2632 | 2008-08-14 |
| 1184260416 | Anil Piya Md, LLC | Clinic/Center | 310 Eisenhower Dr Ste 16, Savannah, GA 31406-2632 | 2019-11-21 |
| 1356871222 | Andrew Earl Richardson | Dentist | 310 Eisenhower Dr Ste 16, Savannah, GA 31406-2632 | 2017-06-14 |
| 1053853929 | Chelsey Hershfield | Nurse Practitioner | 310 Eisenhower Dr Ste 16, Savannah, GA 31406-2632 | 2016-11-09 |
| 1336427210 | Joseph Sylvester Schultz | Physician Assistant | 310 Eisenhower Dr Ste 16, Savannah, GA 31406-2632 | 2011-07-27 |
| 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 | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164559738 | Thomas K Pedigo | Psychologist | 7505 Waters Ave Ste D5, Savannah, GA 31406-3818 | 2007-02-28 |
| 1295800373 | Mahesh Gupta | Psychologist | 310 Benefield Dr, Savannah, GA 31406-2604 | 2006-11-22 |
| 1023668472 | Ashley Badger | Psychologist | 130 Tibet Ave, Suite 103, Savannah, GA 31406 | 2019-09-18 |
| 1265957823 | Savannah Behavioral Pediatrics, LLC | Psychologist | 9100 White Bluff Rd Ste 601, Savannah, GA 31406-4674 | 2017-08-04 |
| 1891966925 | Pediatric & Adolescent Psychology | Psychologist | 9100 White Bluff Rd, Suite 401, Savannah, GA 31406-4668 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538693254 | Rachel Yosick | Psychologist | 520 Wembley Cir, Sandy Springs, GA 30328-6753 | 2017-04-19 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1245655893 | Tiffany Gilmore Randell | Psychologist | 101 Devant Street, Office 401, Fayetteville, GA 30214 | 2014-02-19 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1720409493 | Tonya Favors | Psychologist | 311 S Lee St, Apt C, Americus, GA 31709-3971 | 2013-12-26 |
| 1912336546 | Francine Adams | Psychologist | 324 Trace Ln, Lawrenceville, GA 30046-2896 | 2013-11-04 |
| 1447542691 | Erin Marie Jones | Psychologist | 1256 Briarcliff Rd Ne Ste 322e, Atlanta, GA 30306-2636 | 2011-05-06 |
| 1164729901 | Tiffany Whitworth | Psychologist | 4139 Hospital Dr Ne, Covington, GA 30014-2565 | 2011-02-14 |
| 1548573264 | Kimberley Blaker Saye | Psychologist | 4695 Mahonia Way Nw, Acworth, GA 30102-3575 | 2010-07-22 |
| 1316269350 | Caitlin Herzinger Delfs | Psychologist | 4994 Lower Roswell Rd Ste 10, Marietta, GA 30068-4332 | 2010-02-18 |
| Find all providers with the same taxonomy | ||||
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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.