ACI SURGICAL ASSOCIATES – NPI #1912149907
Surgery

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

ACI SURGICAL ASSOCIATES is a surgeon located in SAVANNAH, GA. NPPES has assigned the NPI number 1912149907 to ACI SURGICAL ASSOCIATES on April 06, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ACI SURGICAL ASSOCIATES” is a dba name, the actual legal business name for this organization is PROVIDENT HEALTH SURGICAL ASSOCIATES, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086X0206X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Oncology

The NPI profile was previously updated about 15 years ago on May 03, 2011. 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 ACI SURGICAL ASSOCIATES below.

NPI Profile for
PROVIDENT HEALTH SURGICAL ASSOCIATES, INC.

NPI Number
1912149907
Enumeration Date

(more than 17 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 SURGICAL ASSOCIATES, INC.
Doing Business As (dba): ACI SURGICAL ASSOCIATES
Primary location
4750 WATERS AVE
SUITE 103
SAVANNAH, GA 31404-6200
Phone: (912) 350-2299 Fax: (912) 350-2298
Mailing address
PO BOX 102019
ATLANTA, GA 30368-2019
Phone: (912) 350-2299 Fax: (912) 350-2298
Organization Subpart
No
Authorized Official
ROBIN MADDOX
PROVIDER ENROLLMENT COORDINATOR
Phone: (912) 350-9335
Updated
Identifiers

Identifiers for ACI SURGICAL 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 MEDICAREGADO4195
MEDICAIDGA824884292A
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
2086X0206X
- Surgery / Surgical Oncology (Primary)
208600000X
- Surgery

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.