CLINICAL GENETICS ASSOCIATES – NPI #1679634612
Medical Genetics

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

CLINICAL GENETICS ASSOCIATES is a medical geneticist located in SAVANNAH, GA. NPPES has assigned the NPI number 1679634612 to CLINICAL GENETICS ASSOCIATES on December 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLINICAL GENETICS ASSOCIATES” is a dba name, the actual legal business name for this organization is PROVIDENT HEALTH SERVICES, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207SG0201X from the Health Care Provider Taxonomy code set, which is classified as Medical Genetics, specializing in Clinical Genetics (M.D.)

The NPI profile was previously updated about 19 years ago on Nov 12, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLINICAL GENETICS ASSOCIATES below.

NPI Profile for
PROVIDENT HEALTH SERVICES, INC.

NPI Number
1679634612
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENT HEALTH SERVICES, INC.
Doing Business As (dba): CLINICAL GENETICS ASSOCIATES
Website
Primary location
4700 WATERS AVE
SAVANNAH, GA 31404-6220
Phone: (912) 350-8490 Fax: (912) 350-8199
Mailing address
PO BOX 933213
ATLANTA, GA 31193-3213
Phone: (912) 350-8490 Fax: (912) 350-8199
Organization Subpart
No
Authorized Official
ROBIN MADDOX
PROVIDER ENROLLMENT COORDINATOR
Phone: (912) 350-9335
Updated
Identifiers

Identifiers for CLINICAL GENETICS ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICARESCDF7661
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207SG0201X
- Medical Genetics / Clinical Genetics (M.D.) (Primary)
207SG0203X
- Medical Genetics / Clinical Molecular Genetics

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.