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SAVANNAH RIVER DERMATOLOGY LLC
NPI 1700038924
Specialist in Martinez, GA

Active since October 21, 2008
575 FURYS FERRY RD, MARTINEZ, GA 30907(706) 691-7079(706) 364-0416 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Savannah River Dermatology Llc NPPES

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

SAVANNAH RIVER DERMATOLOGY LLC (NPI 1700038924) is a healthcare organization registered as a specialist in Martinez, Georgia and active in the NPI registry since October 2008. The organization lists Anna K Duckworth, Physician, as its authorized official.

NPPES Registry Identity

NPI1700038924
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSAVANNAH RIVER DERMATOLOGY LLC
Location Address575 FURYS FERRY RDMartinez, GA 30907-9059
Mailing Address575 Furys Ferry RdMartinez, GA 30907-9059 · (706) 691-7079 · Fax (706) 364-0416
Phone(706) 691-7079
Fax(706) 364-0416
Organization SubpartNo
Authorized OfficialAnna K DuckworthPhysician · (706) 691-7079
Enumeration DateOctober 21, 2008
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1700038924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 060452
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.
575 FURYS FERRY RD, Martinez, GA 30907
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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 BlueCross BlueShield of South Carolina.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)

Savannah River Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Savannah River Dermatology LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Anna Duckworth, M.D.
Dermatology
NPI 1972623288
575 FURYS FERRY RD
Martinez, GA 30907
(706) 691-7079
✔ PECOS✔ Accepts MedicareSame address
Allison Paine, MD
Dermatology
NPI 1104212612
575 FURYS FERRY RD
Martinez, GA 30907
(706) 691-7079
✔ PECOS✔ Accepts MedicareSame address
Sarah Cely, M.D.
Dermatology
NPI 1225235393
1224 AUGUSTA WEST PKWY
Augusta, GA 30909
(706) 250-7025
✔ PECOS✔ Accepts Medicare4.3 mi
Karen Parviainen, MD
Dermatology
NPI 1023042124
820 ST SEBASTIAN WAY STE 6C
Augusta, GA 30901
(706) 722-4280
✔ PECOS✔ Accepts Medicare7.6 mi

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 Compliance 11D1089837

Savannah River Dermatology LLC · Martinez, GA
Expired · Oct 20, 2026
CLIA Number11D1089837
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorAllison R. Paine
Laboratory Phone(706) 691-7079
Laboratory LocationSavannah River Dermatology LLC575 Furys Ferry Road, Martinez, GA 30907
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 River Dermatology LLC's NPI number?

The NPI number for Savannah River Dermatology LLC is 1700038924. It was assigned to this organization in the NPPES registry on October 21, 2008.

Where is Savannah River Dermatology LLC located?

Savannah River Dermatology LLC is located at 575 Furys Ferry Rd, Martinez, GA 30907. The listed phone number is (706) 691-7079.

What is Savannah River Dermatology LLC's specialty?

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

Is Savannah River Dermatology LLC enrolled in Medicare?

Yes. Savannah River Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Savannah River Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Savannah River Dermatology LLC. 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, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Savannah River Dermatology LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Savannah River Dermatology 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 River Dermatology LLC was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.