P Praxis·MD
● Active Type 1 · Individual

DR. Ericka M. Russell Petty, M.D.

Pediatrics·Savannah, GA· NPI 1659362705 · Enumerated 2005 · 20 years on NPI
Russell Petty is 1 of 73 pediatrics providers in Savannah and 1 of 2726 in Georgia.
NPI age
20 years
Enumerated 2005-10-28
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-08-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
3710 Waters Ave
Savannah, GA 314046209
📞 9127775490fax 9127775491
Mailing address
5710 Ogeechee Rd, Ste 200 Box 283
Savannah, GA 314059515
📞 9127775490fax 9127775491

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #047258 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (GA) 000880448D
05 (GA) 000880448H
05 (GA) 000880448C
05 (GA) 000880448E

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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