Provident Health Surgical Associates
NPI 1508144981ActiveOrganization· Surgery· Savannah, GA
Surgery in Savannah, Georgia, registered in NPPES in August 2011. The authorized official on file is Robin J. Maddox, Provider Enrollment Coordinator.
Overview
| NPI | 1508144981 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 2, 2011 |
| Last updated in NPPES | Aug 2, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Surgery, Surgical Oncology | 2086X0206X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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