EFFINGHAM OCCUPATIONAL MEDICINE
NPI 1245668417
Preventive Medicine - Occupational Medicine in Port Wentworth, GA

Active since October 24, 2013CLIA 11D1105704 · Microscopy
7306 GA HIGHWAY 21 STE 105, PORT WENTWORTH, GA 31407(912) 966-2575(912) 966-0906 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Effingham Occupational Medicine NPPES

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

EFFINGHAM OCCUPATIONAL MEDICINE (NPI 1245668417) is a healthcare organization registered as an occupational medicine in Port Wentworth, Georgia and active in the NPI registry since October 2013. The organization holds a CLIA Microscopy certificate valid through September 27, 2027 and lists Fran Baker-witt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245668417
Entity TypeOrganization
Primary Taxonomy2083X0100X
Legal Business NameEFFINGHAM HOSPITAL, INC.
Location Address7306 GA HIGHWAY 21 STE 105Port Wentworth, GA 31407-9275
Mailing Address459 Highway 119 South, Attn.: Alia Allen/medical Staff OfficeSpringfield, GA 31329 · (912) 754-0175 · Fax (912) 754-6395
Fax(912) 966-0906
Organization SubpartNo
Authorized OfficialFran Baker-wittCeo · (912) 754-0175
Enumeration DateOctober 24, 2013
Last NPPES UpdateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1245668417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
7306 GA HIGHWAY 21 STE 105, Port Wentworth, GA 31407

Other Names 1

Doing Business AsEffingham Occupational Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Effingham Occupational Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Effingham Occupational Medicine, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner15
Family Practice6
Internal Medicine4
Cardiovascular Disease (Cardiology)1
Interventional Cardiology1
Obstetrics/Gynecology1
Otolaryngology1
Pediatric Medicine1

Nearest to this location (20)

See all 30
Nurse Practitioner
NPI 1417539537
110 GOSHEN RD
Rincon, GA 31326
(912) 826-5239
✔ PECOS✔ Accepts Medicare3.7 mi
Family Practice
NPI 1942479530
100 GOSHEN RD
Rincon, GA 31326
(912) 826-6000
✔ PECOS✔ Accepts Medicare3.7 mi
Family Practice
NPI 1306845458
100 GOSHEN RD
Rincon, GA 31326
(912) 826-6000
✔ PECOS✔ Accepts Medicare3.7 mi
Family Practice
NPI 1700105004
100 GOSHEN RD
Rincon, GA 31326
(912) 826-6000
✔ PECOS3.7 mi
Nurse Practitioner
NPI 1356910772
131 SILVERWOOD CT STE 100
Rincon, GA 31326
(912) 826-3927
✔ PECOS4.6 mi
Nurse Practitioner
NPI 1104123371
800 TOWNE PARK DR
Rincon, GA 31326
(912) 826-0052
✔ PECOS✔ Accepts Medicare5.0 mi
Internal Medicine
NPI 1851745780
9 CHATHAM CTR S STE C
Savannah, GA 31405
(912) 527-7211
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1538858188
1451 GA HIGHWAY 21 S STE H
Springfield, GA 31329
(912) 754-1035
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1497718217
1451 HIGHWAY 21 S STE H
Springfield, GA 31329
(912) 754-1035
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1023488780
4700 WATERS AVE
Savannah, GA 31404
(912) 350-8000
✔ PECOS✔ Accepts Medicare13 mi
Otolaryngology
NPI 1871614297
5201 FREDERICK STREET
Savannah, GA 31405
(912) 351-3030
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1043240047
459 HWY 119 S
Springfield, GA 31329
(912) 754-0182
✔ PECOS✔ Accepts Medicare14 mi
Pediatric Medicine
NPI 1225458193
3 HIDDEN CREEK DR
Guyton, GA 31312
(912) 772-8620
✔ PECOS14 mi
Nurse Practitioner
NPI 1083387690
5296 GA HIGHWAY 119 N
Clyo, GA 31303
(912) 677-6166
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1679673925
1061 HARMON AVE STE 1D03
Fort Stewart, GA 31314
(912) 435-6965
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1588039101
303 FRASER DRIVE
Hinesville, GA 31313
(912) 877-2227
✔ PECOS34 mi
Nurse Practitioner
NPI 1710548771
1635 PONDSIDE DR
Statesboro, GA 30458
(912) 507-9077
✔ PECOS36 mi
Interventional Cardiology
NPI 1710968060
1058 BERMUDA RUN
Statesboro, GA 30458
(912) 243-9274
✔ PECOS✔ Accepts Medicare37 mi
Cardiovascular Disease (Cardiology)
NPI 1134362718
1058 BERMUDA RUN
Statesboro, GA 30458
(912) 243-9274
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1285078147
SC HOUSE CALLS INC 111 DOCTORS CIRCLE
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare130 mi
See all 30 clinicians

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

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 for Provider-Performed Microscopy Procedures (PPMP) 11D1105704

Effingham Hospital Inc Dba Effingham Family Mne At Port Wentworth · Port Wentworth, GA
Active · expires Sep 27, 2027
CLIA Number11D1105704
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorDr. John R. Bennett
Laboratory Phone(912) 966-2575
Laboratory LocationEffingham Hospital Inc Dba Effingham Family Mne At Port Wentworth7306 Highway 21 N Suite 105, Port Wentworth, GA 31407
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Effingham Hospital, Inc.'s NPI number?

The NPI number for Effingham Hospital, Inc. is 1245668417. It was assigned to this organization in the NPPES registry on October 24, 2013. The provider is doing business as Effingham Occupational Medicine.

Where is Effingham Hospital, Inc. located?

Effingham Hospital, Inc. is located at 7306 Ga Highway 21 Ste 105, Port Wentworth, GA 31407. The listed phone number is (912) 966-2575.

What is Effingham Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Effingham Hospital, Inc. enrolled in Medicare?

Yes. Effingham Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Effingham Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 8 Medicare specialties reassign their Medicare billing to Effingham Hospital, Inc.. 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 Nurse Practitioner (15), Family Practice (6) and Internal Medicine (4). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Effingham Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1105704) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Effingham Hospital, Inc. was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.