Skidaway Medical Group LLC
NPI 1164188413 · Primary Care Clinic/Center · Savannah, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Skidaway Medical Group LLC is a Primary Care Clinic/Center organization in Savannah, GA (NPI 1164188413).
Provider details
- NPI number
- 1164188413
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Skidaway Medical Group LLC
- Organization subpart
- Yes
- Authorized official
- Brittany Wilson, Manager(912) 201-1140
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Primary Care Savannah
Registry dates
- Enumerated
- 2021-11-11
- Last updated
- 2021-11-11
- Certified
- 2021-11-11
Frequently asked questions
- What is Skidaway Medical Group LLC's NPI number?
- Skidaway Medical Group LLC's National Provider Identifier (NPI) is 1164188413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skidaway Medical Group LLC?
- Skidaway Medical Group LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Skidaway Medical Group LLC located?
- Skidaway Medical Group LLC's practice location on file with NPPES is 310 Eisenhower Dr Ste 12a, Savannah, GA 31406-2632.
- What is Skidaway Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Skidaway Medical Group LLC is (912) 201-1140.
- Does Skidaway Medical Group LLC accept Medicare?
- Skidaway Medical Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Skidaway Medical Group LLC?
- The authorized official listed on Skidaway Medical Group LLC's NPPES record is Brittany Wilson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skidaway Medical Group LLC's NPI active?
- Yes — Skidaway Medical Group LLC's NPI (1164188413) is active in the NPPES registry as of the last update on 2021-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.