SAVANNAH DERMATOLOGY CLINIC, P.C.
NPI 1649394065
Specialist in Savannah, GA

Active since March 19, 2007CLIA 11D0264795 · Microscopy
712 E 70TH ST, SAVANNAH, GA 31405(912) 352-8974(912) 355-8329 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Savannah Dermatology Clinic, P.c. NPPES

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

SAVANNAH DERMATOLOGY CLINIC, P.C. (NPI 1649394065) is a healthcare organization registered as a specialist in Savannah, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Adam S Pritzker, President, as its authorized official.

NPPES Registry Identity

NPI1649394065
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRITZKER DERMATOLOGY, P.C.
Location Address712 E 70TH STSavannah, GA 31405-4811
Mailing Address712 E 70th StSavannah, GA 31405-4811 · (912) 352-8974 · Fax (912) 355-8329
Fax(912) 355-8329
Organization SubpartNo
Authorized OfficialAdam S PritzkerPresident · (912) 352-8974
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649394065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 048454
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
712 E 70TH ST, Savannah, GA 31405

Other Names 1

Doing Business AsSavannah Dermatology Clinic, P.c.

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)

Savannah Dermatology Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Savannah Dermatology Clinic, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1104391689
712 E 70TH ST
Savannah, GA 31405
(912) 352-8974
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1285724351
712 E 70TH ST
Savannah, GA 31405
(912) 352-8974
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417813809
712 E 70TH ST
Savannah, GA 31405
(912) 352-8974
✔ PECOS✔ Accepts MedicareSame address

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) 11D0264795

Savannah Dermatology Clinic · Savannah, GA
Active · expires Aug 31, 2028
CLIA Number11D0264795
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorAdam S. Pritzker
Laboratory Phone(912) 352-8974
Laboratory LocationSavannah Dermatology Clinic712 East 70th St, Savannah, GA 31405
CLIA data matches this NPI record on: Address 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 Pritzker Dermatology, P.C.'s NPI number?

The NPI number for Pritzker Dermatology, P.C. is 1649394065. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Savannah Dermatology Clinic, P.C..

Where is Pritzker Dermatology, P.C. located?

Pritzker Dermatology, P.C. is located at 712 E 70th St, Savannah, GA 31405. The listed phone number is (912) 352-8974.

What is Pritzker Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pritzker Dermatology, P.C. enrolled in Medicare?

Yes. Pritzker Dermatology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pritzker Dermatology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pritzker Dermatology, P.C., in Dermatology and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pritzker Dermatology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0264795) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pritzker Dermatology, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.