1. Home
  2. Directory
  3. Georgia
  4. Savannah
  5. Internal Medicine
  6. NPI Profile

INTERNAL MEDICINE OF SAVANNAH, LLC
NPI 1346514114
Internal Medicine in Savannah, GA

Active since February 26, 2012CLIA Certified · 2 labs
6413 WATERS AVE, SUITE 102, SAVANNAH, GA 31406(912) 349-6624(912) 354-4694 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Internal Medicine Of Savannah, Llc NPPES

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

INTERNAL MEDICINE OF SAVANNAH, LLC (NPI 1346514114) is a healthcare organization registered as an internal medicine in Savannah, Georgia and active in the NPI registry since February 2012. The organization holds 2 active CLIA laboratory certificates and lists Robin J. Maddox, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1346514114
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE OF SAVANNAH, LLC
Location Address6413 WATERS AVE, SUITE 102Savannah, GA 31406-2711
Mailing Address6413 Waters Ave, Suite 102Savannah, GA 31406-2711 · (912) 349-6624 · Fax (912) 354-4694
Phone(912) 349-6624
Fax(912) 354-4694
Organization SubpartNo
Authorized OfficialRobin J. MaddoxProvider Enrollment Coordinator · (912) 350-8977
Enumeration DateFebruary 26, 2012
Last NPPES UpdateSeptember 2, 2015
✔ NPI 1346514114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6413 WATERS AVE, Savannah, GA 31406
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN202G702508GA

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

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 2

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 11D2038283

Internal Medicine Of Savannah · Savannah, GA
Active · expires Mar 18, 2028
CLIA Number11D2038283
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorYulianty Kusuma
Laboratory Phone(912) 349-6624
Laboratory LocationInternal Medicine Of Savannah6413 Waters Avenue, Suite 102, Savannah, GA 31406
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2272075

Internal Medicine Of Savannah (pooler Location) · Pooler, GA
Active · expires Nov 14, 2026
CLIA Number11D2272075
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorYulianty Kusuma
Laboratory Phone(912) 349-6624
Laboratory LocationInternal Medicine Of Savannah (pooler Location)114 Canal Street Suite 102, Pooler, GA 31322
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YULIANTY D. KUSUMA MD
Internal Medicine
6413 WATERS AVE, SUITE 102
SAVANNAH, GA 31406
Chatham County (912) 349-6624
THAN WIN MD
Internal Medicine (Rheumatology)
6413 WATERS AVE, SUITE 101
SAVANNAH, GA 31406
Chatham County (912) 352-7960
DOREEN R. KEHOE N.P.
Nurse Practitioner (Adult Health)
6413 WATERS AVE, SUITE 102
SAVANNAH, GA 31406
Chatham County (912) 349-6624
WRIGHTINGTON RHEUMATOLOGY, LLC
Clinic/Center (Medical Specialty)
6413 WATERS AVE, STE 101
SAVANNAH, GA 31406
Chatham County (912) 352-7960

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 Internal Medicine Of Savannah, LLC's NPI number?

The NPI number for Internal Medicine Of Savannah, LLC is 1346514114. It was assigned to this organization in the NPPES registry on February 26, 2012.

Where is Internal Medicine Of Savannah, LLC located?

Internal Medicine Of Savannah, LLC is located at 6413 Waters Ave Suite 102, Savannah, GA 31406. The listed phone number is (912) 349-6624.

What is Internal Medicine Of Savannah, LLC's specialty?

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

Does Internal Medicine Of Savannah, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Internal Medicine Of Savannah, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Internal Medicine Of Savannah, 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 Internal Medicine Of Savannah, LLC was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.