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

Provident Health Surgical Associates, Inc

Organization Surgery Physician · NPI 1912149907

Provident Health Surgical Associates, Inc is a Surgery Physician in Savannah, Georgia. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
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

4750 Waters Ave Ste 103
Savannah, GA 31404-6200
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
Surgery Physician Taxonomy 208600000X

Record details

NPI number1912149907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Maddox — Provider Enrollment Coordinator · (912) 350-9335
Other names Aci Surgical Associates
NPI enumeratedApril 6, 2009
Last updated in NPPESMay 3, 2011
Mailing addressPo Box 102019, Atlanta, GA 30368-2019

Other providers in Savannah