Provident Health Services, Inc.
NPI 1679634612 · Clinical Genetics (M.D.) Physician · Savannah, GA
Provident Health Services, Inc. is a Clinical Genetics (M.D.) Physician organization in Savannah, GA (NPI 1679634612).
Provider details
- NPI number
- 1679634612
- Entity type
- Organization
- Primary specialty
- Clinical Genetics (M.D.) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robin Maddox, Provider Enrollment Coordinator(912) 350-9335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Molecular Genetics Physician207SG0203X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- Clinical Genetics Associates
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-11-12
Frequently asked questions
- What is Provident Health Services, Inc.'s NPI number?
- Provident Health Services, Inc.'s National Provider Identifier (NPI) is 1679634612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provident Health Services, Inc.?
- Provident Health Services, Inc. is classified in the NPPES registry as Clinical Genetics (M.D.) Physician (Allopathic & Osteopathic Physicians).
- Where is Provident Health Services, Inc. located?
- Provident Health Services, Inc.'s practice location on file with NPPES is 4700 Waters Ave, Savannah, GA 31404-6220.
- What is Provident Health Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Provident Health Services, Inc. is (912) 350-8490.
- Who is the authorized official for Provident Health Services, Inc.?
- The authorized official listed on Provident Health Services, Inc.'s NPPES record is Robin Maddox, Provider Enrollment Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provident Health Services, Inc.'s NPI active?
- Yes — Provident Health Services, Inc.'s NPI (1679634612) is active in the NPPES registry as of the last update on 2007-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.