NPI age
4 years
Enumerated 2021-11-11
● Active Type 2 · Organization
Subpart
Skidaway Medical Group Llc
Skidaway Medical Group Llc is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Manager
Last NPPES update
2021-11-11
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
4 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
310 Eisenhower Dr Ste 12a
Savannah, GA 314062632
Mailing address
310 Eisenhower Dr Ste 12a
Savannah, GA 314062632
Authorized official
Brittany Wilson
Manager
📞 9122011140
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Adrienne Fabrizio, MD Internal Medicine NPI 1649219429
- Jeanne Hungerpiller, MD General Practice NPI 1194885640
- Angela Mixon, FNP Nurse Practitioner NPI 1720021843
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
PRIMARY CARE SAVANNAH
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Skidaway Medical Group Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.