CENTERWELL SENIOR PRIMARY CARE GA PC
NPI 1326868878
Internal Medicine in Savannah, GA

Active since October 10, 2024CLIA 11D2265869 · Waiver
2104 E VICTORY DR, SAVANNAH, GA 31404(912) 600-1222(912) 600-1262 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Centerwell Senior Primary Care Ga Pc NPPES

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

CENTERWELL SENIOR PRIMARY CARE GA PC (NPI 1326868878), doing business as Centerwell Senior Primary Care - Victory Heights, is a healthcare organization registered as an internal medicine in Savannah, Georgia and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through August 2, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1326868878
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE GA PC
Location Address2104 E VICTORY DRSavannah, GA 31404-3918
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Fax(912) 600-1262
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateOctober 10, 2024
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1326868878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
2104 E VICTORY DR, Savannah, GA 31404

Other Names 1

Doing Business AsCenterwell Senior Primary Care - Victory Heights

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centerwell Senior Primary Care Ga Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

67

Medicare enrollment records show 67 clinicians reassign Medicare billing to Centerwell Senior Primary Care Ga PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner28
Internal Medicine16
Family Practice13
Cardiovascular Disease (Cardiology)9
Osteopathic Manipulative Medicine1

Nearest to this location (20)

See all 67
Nurse Practitioner
NPI 1881291151
2104 E VICTORY DR
Savannah, GA 31404
(912) 600-1222
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1750385662
2104 E VICTORY DR
Savannah, GA 31404
(912) 600-1222
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104424712
6711 LA ROCHE AVE
Savannah, GA 31406
(912) 354-8225
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1902642770
411 STEPHENSON AVE
Savannah, GA 31405
(912) 354-7679
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1851281992
SC HOUSE CALLS, INC. 111 DOCTORS CIR.
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare140 mi
Internal Medicine
NPI 1205851425
3725 RENEE DR
Myrtle Beach, SC 29579
(843) 350-1124
✔ PECOS✔ Accepts Medicare170 mi
Internal Medicine
NPI 1568661320
2978 HIGHWAY 36 W
Jackson, GA 30233
(770) 504-2144
✔ PECOS✔ Accepts Medicare192 mi
Internal Medicine
NPI 1467968099
1101 NORTEC DR SE
Conyers, GA 30013
(678) 374-7514
✔ PECOS✔ Accepts Medicare202 mi
Internal Medicine
NPI 1285991588
50 KELLY RD
Mcdonough, GA 30253
(770) 957-1887
✔ PECOS✔ Accepts Medicare206 mi
Nurse Practitioner
NPI 1194487256
124 TUSCANY CT
Mcdonough, GA 30252
(678) 630-4536
✔ PECOS✔ Accepts Medicare207 mi
Family Practice
NPI 1932495215
2745 DEKALB MEDICAL PKWY STE 110
Lithonia, GA 30058
(770) 593-2382
✔ PECOS✔ Accepts Medicare213 mi
Family Practice
NPI 1538178728
3588 HWY 138 STE 166
Stockbridge, GA 30281
(772) 618-3133
✔ PECOS✔ Accepts Medicare214 mi
Nurse Practitioner
NPI 1700687274
5095 MOUNT ZION PKWY
Stockbridge, GA 30281
(770) 507-0576
✔ PECOS✔ Accepts Medicare214 mi
Nurse Practitioner
NPI 1497306625
368 W PIKE ST STE 106
Lawrenceville, GA 30046
(702) 941-0874
✔ PECOS✔ Accepts Medicare215 mi
Family Practice
NPI 1255561379
2389 WESLEY CHAPEL RD STE 102
Decatur, GA 30035
(404) 469-9867
✔ PECOS✔ Accepts Medicare217 mi
Family Practice
NPI 1487790960
770 VILLAGE SQUARE DR
Stone Mountain, GA 30083
(404) 298-8998
✔ PECOS✔ Accepts Medicare219 mi
Osteopathic Manipulative Medicine
NPI 1740442599
2480 BRIARCLIFF RD NE
Atlanta, GA 30329
(490) 900-8654
✔ PECOS✔ Accepts Medicare226 mi
Cardiovascular Disease (Cardiology)
NPI 1215158456
10010 KENDA DR
Riverview, FL 33578
(727) 365-0803
✔ PECOS✔ Accepts Medicare298 mi
Cardiovascular Disease (Cardiology)
NPI 1396032983
1203 JEFFERSON ST
Laurel, MS 39440
(601) 399-6169
✔ PECOS✔ Accepts Medicare476 mi
Cardiovascular Disease (Cardiology)
NPI 1255385589
252 CHAPMAN ROAD SUITE 150
Newark, DE 19702
(302) 623-1929
✔ PECOS606 mi
See all 67 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 of Waiver 11D2265869

Centerwell Senior Primary Care (ga) P C- Victory Heights · Savannah, GA
Active · expires Aug 2, 2028
CLIA Number11D2265869
Laboratory TypePhysician Office
Certificate Effective DateAugust 3, 2026
Certificate Expiration DateAugust 2, 2028
Laboratory DirectorDr. Alexis M. Atwater
Laboratory Phone(912) 600-1222
Laboratory LocationCenterwell Senior Primary Care (ga) P C- Victory Heights2104 E Victory Drive, Savannah, GA 31404
CLIA data matches this NPI record on: Address 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 Centerwell Senior Primary Care Ga PC's NPI number?

The NPI number for Centerwell Senior Primary Care Ga PC is 1326868878. It was assigned to this organization in the NPPES registry on October 10, 2024. The provider is doing business as CenterWell Senior Primary Care - Victory Heights.

Where is Centerwell Senior Primary Care Ga PC located?

Centerwell Senior Primary Care Ga PC is located at 2104 E Victory Dr, Savannah, GA 31404. The listed phone number is (912) 600-1222.

What is Centerwell Senior Primary Care Ga PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Centerwell Senior Primary Care Ga PC enrolled in Medicare?

Yes. Centerwell Senior Primary Care Ga PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centerwell Senior Primary Care Ga PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 67 clinicians in 5 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care Ga PC. 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 (28), Internal Medicine (16) and Family Practice (13). 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.

Does Centerwell Senior Primary Care Ga PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2265869) is associated with this NPI, valid through August 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centerwell Senior Primary Care Ga PC accept?

Health plans from BlueCross BlueShield of Tennessee list Centerwell Senior Primary Care Ga PC 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 Centerwell Senior Primary Care Ga PC was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.