SARAH JORDAN MCILWAIN (NPI# 1225397573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225397573 |
| Entity Type | Individual |
| Full Name | SARAH JORDAN MCILWAIN |
| Credential | P.A.-C. |
| Practice Address |
4425 Paulsen St Savannah GA 31405-3662 |
| Mailing Address |
4 E Jackson Blvd Savannah GA 31405-5810 |
| Practice Telephone | 9123556615 |
| Practice Fax Number | 9123510645 |
| Mailing Telephone | 9123551010 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
006437 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEA | MM2630502 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 459 Highway 119 S, Springfield, GA 313293021 | 9127540175 | 9127546395 |
| 101 St Josephs Candler Dr Fl 1, Pooler, GA 313229579 | 9123556615 | 9123510645 |
| Street Address |
4425 PAULSEN ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588658363 | Jennifer S Green | Physician Assistant | 4425 Paulsen St, Savannah, GA 31405-3637 | 2005-09-07 |
| 1760028658 | Kelsey Byrd | Physician Assistant | 4425 Paulsen St, Savannah, GA 31405-3662 | 2019-11-26 |
| 1437649738 | Ryan Stephen Polsinelli | Physician Assistant | 4425 Paulsen St, Savannah, GA 31405-3662 | 2018-05-14 |
| 1093243545 | Michael Mcewen | Physician Assistant | 4425 Paulsen St, Savannah, GA 31405-3662 | 2017-05-30 |
| 1023544111 | Jason Miller | Physician Assistant | 4425 Paulsen St, Savannah, GA 31405-3662 | 2017-05-10 |
| 1669846812 | Alex M Gardner | Nurse Practitioner | 4425 Paulsen St, Savannah, GA 31405 | 2015-11-25 |
| 1184097313 | Epix Anesthesia of Georgia PC | Nurse Anesthetist, Certified Registered | 4425 Paulsen St, Savannah, GA 31405-3662 | 2015-11-10 |
| 1285003251 | Lindsay Blake Sharpe | Occupational Therapist | 4425 Paulsen St, Savannah, GA 31405-3662 | 2015-09-21 |
| 1730572587 | Timothy Czarnecki | Physical Therapist | 4425 Paulsen St, Savannah, GA 31405-3662 | 2015-03-17 |
| 1023410586 | Charmaine Quirimit Pham | Nurse Practitioner | 4425 Paulsen St, Savannah, GA 31405 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336412444 | Darrell Chad Edenfield | Physician Assistant | 11909 Mcauley Dr Ste 100a2, Savannah, GA 31419-1793 | 2012-02-21 |
| 1609166255 | Taurek Erik-soussi | Physician Assistant | 505 Mall Blvd Apt 415, Savannah, GA 31406-4857 | 2011-04-17 |
| 1396062055 | Joanna Ward Dobbeck | Physician Assistant | 6602 Abercorn St Ste 102, Savannah, GA 31405 | 2010-04-21 |
| 1023017712 | Adrienne Marie Lynch | Physician Assistant | 7001 Hodgson Memorial Dr, Suite 1, Savannah, GA 31406-2549 | 2005-07-15 |
| 1366007841 | Gage Matthew Henry | Physician Assistant | 4 E Jackson Blvd, Savannah, GA 31405-5895 | 2019-05-09 |
| 1649789132 | E & M Associates LLC | Physician Assistant | 5205 Frederick St Ste A, Savannah, GA 31405-4520 | 2017-09-27 |
| 1720516834 | Gina Soule | Physician Assistant | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2017-06-02 |
| 1487000519 | Angel Everidge | Physician Assistant | 11700 Mercy Blvd, Plaza D, #6, Savannah, GA 31419 | 2016-05-07 |
| 1447605969 | Vanessa Holmes | Physician Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2016-05-03 |
| 1093128621 | Jessica Wegmann | Physician Assistant | 5205 Frederick St Ste A, Savannah, GA 31405-4520 | 2014-06-11 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.