Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Provident Health Surgical Associates, Inc

Organization Gynecologic Oncology Physician · NPI 1316195373

Provident Health Surgical Associates, Inc is a Gynecologic Oncology Physician in Savannah, Georgia. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4700 Waters Ave
Savannah, GA 31404-6220
Phone: (912) 350-2299
Fax: (912) 350-2298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X
Gynecologic Oncology Physician Taxonomy 207VX0201X
Otolaryngology Physician Taxonomy 207Y00000X
Surgical Critical Care Physician Taxonomy 2086S0102X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X

Record details

NPI number1316195373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Maddox — Provider Enrollment Coordinator · (912) 350-9335
Other names Aci Surgical Associates
NPI enumeratedSeptember 3, 2008
Last updated in NPPESMay 3, 2011
Mailing addressPo Box 102019, Atlanta, GA 30368-2019

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