ADVANCED PEDIATRIC SPECIALISTS LLC
NPI 1073046397
Pediatrics in Savannah, GA

Active since April 04, 2017
5353 REYNOLDS ST, SAVANNAH, GA 31405(912) 819-6000(386) 274-7801 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Pediatric Specialists Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED PEDIATRIC SPECIALISTS LLC (NPI 1073046397) is a healthcare organization registered as a pediatrics in Savannah, Georgia and active in the NPI registry since April 2017. The organization lists Mark Coffey, President, as its authorized official.

NPPES Registry Identity

NPI1073046397
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameADVANCED PEDIATRIC SPECIALISTS LLC
Location Address5353 REYNOLDS STSavannah, GA 31405-6015
Mailing AddressPo Box 12189Daytona Beach, FL 32120-2189 · (386) 274-7800 · Fax (386) 274-7801
Fax(386) 274-7801
Organization SubpartNo
Authorized OfficialMark CoffeyPresident · (912) 295-2133
Enumeration DateApril 4, 2017
✔ NPI 1073046397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5353 REYNOLDS ST, Savannah, GA 31405

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Pediatric Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Pediatric Specialists LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Pediatric Medicine
NPI 1417391350
5353 REYNOLDS ST
Savannah, GA 31405
(912) 819-6000
✔ PECOSSame address
Emergency Medicine
NPI 1942307194
5353 REYNOLDS ST
Savannah, GA 31405
(912) 819-6000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1134171804
4700 WATERS AVE
Savannah, GA 31404
(912) 350-3849
✔ PECOS0.7 mi
Emergency Medicine
NPI 1396789657
5 EXECUTIVE CIR
Savannah, GA 31406
(912) 355-2400
✔ PECOS3.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Pediatric Specialists LLC's NPI number?

The NPI number for Advanced Pediatric Specialists LLC is 1073046397. It was assigned to this organization in the NPPES registry on April 4, 2017.

Where is Advanced Pediatric Specialists LLC located?

Advanced Pediatric Specialists LLC is located at 5353 Reynolds St, Savannah, GA 31405. The listed phone number is (912) 819-6000.

What is Advanced Pediatric Specialists LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Advanced Pediatric Specialists LLC enrolled in Medicare?

Yes. Advanced Pediatric Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Pediatric Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Pediatric Specialists LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (3) and Pediatric Medicine (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Pediatric Specialists LLC was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.