OrganizationActive
Lighthouse Anesthesia LLC
NPI 1306036561 · Anesthesiology Physician · Savannah, GA
Provider details
- NPI number
- 1306036561
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Wallace, Authorized Representative(912) 354-5357
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
6605 Abercorn St
St. 108
Savannah, GA 31405-5815
Phone: (912) 354-5357
Street-level locationGet directions
Mailing address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Registry dates
- Enumerated
- 2007-07-25
- Last updated
- 2008-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.