NPI age
17 years
Enumerated 2008-09-03
● Active Type 2 · Organization
Provident Health Surgical Associates, Inc.
Provident Health Surgical Associates, Inc. is 1 of 56 surgery organizations in Georgia.
Primary specialty
Surgery
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Maddox
Provider Enrollment Coordinator
Last NPPES update
2011-05-03
Source: monthly bulk 2026-05
How this organization compares
Across 56 active surgery providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
4
In the 57% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-09Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
4700 Waters Ave
Savannah, GA 314046220
Mailing address
Po Box 102019
Atlanta, GA 303682019
Authorized official
Robin J. Maddox
Provider Enrollment Coordinator
📞 9123509335
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Kendra Adams, C.R.N.A. Nurse Anesthetist, Certified Registered NPI 1811210784
- Eunice Adebayo, MD Student in an Organized Health Care Education/Training Program NPI 1902508781
- John Adent, MD Student in an Organized Health Care Education/Training Program NPI 1275235814
- Wuraola Afolabi, MD Student in an Organized Health Care Education/Training Program NPI 1851750129
- Gabrielle Aiello Family Medicine NPI 1295475200
- Amber Aimar, NP Nurse Practitioner NPI 1285418301
- Marshall Akin Obstetrics & Gynecology NPI 1619553427
- Erin Allen, AA Anesthesiologist Assistant NPI 1316298094
- Richard Allen, MD Radiology NPI 1407801210
- Daniel Amador, MD Student in an Organized Health Care Education/Training Program NPI 1821890054
- Ariel Amman, CAA Anesthesiologist Assistant NPI 1285256941
- Ashley Anderson Anesthesiologist Assistant NPI 1710851852
- Todd Anderson, NP Nurse Practitioner NPI 1750003539
- Mohit Bajaj Student in an Organized Health Care Education/Training Program NPI 1942149364
- Meghan Barber Physician Assistant NPI 1346070448
- Cathy Barnes, PA Physician Assistant NPI 1740411164
- Kari Barnett, A.A. Anesthesiologist Assistant NPI 1740431063
- James Barrows, PA-C Physician Assistant NPI 1871652073
- Karthikeyan Baskaran, DO, MS Internal Medicine NPI 1861079113
- Muskan Baskota Student in an Organized Health Care Education/Training Program NPI 1538007745
Specialties
-
Surgery PrimaryA 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...
-
Obstetrics & GynecologyAn obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic...
-
OtolaryngologyAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
-
SurgeryA surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ...
-
Thoracic Surgery (Cardiothoracic Vascular Surgery)A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 824884292A | |
| 01 (SC) | DO4198 | RR MEDICARE |
| 01 (GA) | DO4195 | RR MEDICARE |
| 05 (SC) | GPA978 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ACI Surgical Associates
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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