Provident Health Surgical Associates, Inc.
NPI 1912149907 · Surgical Oncology Physician · Savannah, GA
Provident Health Surgical Associates, Inc. is a Surgical Oncology Physician organization in Savannah, GA (NPI 1912149907).
Provider details
- NPI number
- 1912149907
- Entity type
- Organization
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robin Maddox, Provider Enrollment Coordinator(912) 350-9335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- Aci Surgical Associates
Registry dates
- Enumerated
- 2009-04-06
- Last updated
- 2011-05-03
Frequently asked questions
- What is Provident Health Surgical Associates, Inc.'s NPI number?
- Provident Health Surgical Associates, Inc.'s National Provider Identifier (NPI) is 1912149907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provident Health Surgical Associates, Inc.?
- Provident Health Surgical Associates, Inc. is classified in the NPPES registry as Surgical Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Provident Health Surgical Associates, Inc. located?
- Provident Health Surgical Associates, Inc.'s practice location on file with NPPES is 4750 Waters Ave, Savannah, GA 31404-6200.
- What is Provident Health Surgical Associates, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Provident Health Surgical Associates, Inc. is (912) 350-2299.
- Who is the authorized official for Provident Health Surgical Associates, Inc.?
- The authorized official listed on Provident Health Surgical Associates, 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 Surgical Associates, Inc.'s NPI active?
- Yes — Provident Health Surgical Associates, Inc.'s NPI (1912149907) is active in the NPPES registry as of the last update on 2011-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.