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SAVANNAH ENDOCRINOLOGY LLC
NPI 1205509858
Internal Medicine - Endocrinology, Diabetes & Metabolism in Savannah, GA

Active since July 29, 2021CLIA 11D2229263 · Waiver
107 SOUTHERN BLVD # 103, SAVANNAH, GA 31405(912) 232-5900(912) 244-6744 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 21, 2021, Jul 29, 2021 (2 updates tracked since 2021).

About Savannah Endocrinology Llc NPPES

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

SAVANNAH ENDOCRINOLOGY LLC (NPI 1205509858) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Savannah, Georgia and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Ismary Ojeda De Castro, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1205509858
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameSAVANNAH ENDOCRINOLOGY LLC
Location Address107 SOUTHERN BLVD # 103Savannah, GA 31405-7437
Mailing Address107 Southern Blvd # 103Savannah, GA 31405-7437 · (912) 232-5900 · Fax (912) 244-6744
Phone(912) 232-5900
Fax(912) 244-6744
Organization SubpartNo
Authorized OfficialIsmary Ojeda De CastroOwner/physician · (912) 344-5037
Enumeration DateJuly 29, 2021
Last NPPES UpdateSeptember 21, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2021
✔ NPI 1205509858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
107 SOUTHERN BLVD # 103, Savannah, GA 31405
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2229263

Savannah Endocrinology, LLC · Savannah, GA
Active · expires Jul 8, 2027
CLIA Number11D2229263
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorIsmary Ojeda De Castro
Laboratory Phone(912) 344-5037
Laboratory LocationSavannah Endocrinology, LLC107 Southern Boulevard, Suite #103, Savannah, GA 31405
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Savannah Endocrinology LLC's NPI number?

The NPI number for Savannah Endocrinology LLC is 1205509858. It was assigned to this organization in the NPPES registry on July 29, 2021.

Where is Savannah Endocrinology LLC located?

Savannah Endocrinology LLC is located at 107 Southern Blvd # 103, Savannah, GA 31405. The listed phone number is (912) 232-5900.

What is Savannah Endocrinology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Savannah Endocrinology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2229263) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Savannah Endocrinology LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Savannah Endocrinology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Savannah Endocrinology LLC was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.