SAVANNAH HEALTH GROUP LLC
NPI 1750875183
Nurse Practitioner - Gerontology in Salt Lake City, UT

Active since June 19, 2018
4035 S 500 E, SALT LAKE CITY, UT 84107(801) 262-9181(813) 336-8463 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2020, Jun 19, 2018 (2 updates tracked since 2018).

About Savannah Health Group Llc NPPES

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

SAVANNAH HEALTH GROUP LLC (NPI 1750875183) is a healthcare organization registered as a gerontology in Salt Lake City, Utah and active in the NPI registry since June 2018. The organization lists Edwin O Awinda, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1750875183
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameSAVANNAH HEALTH GROUP LLC
Location Address4035 S 500 ESalt Lake City, UT 84107-1866
Mailing Address1728 S Wright CtSalt Lake City, UT 84105-2914 · (801) 941-4034 · Fax (813) 336-8463
Fax(813) 336-8463
Organization SubpartNo
Authorized OfficialEdwin O AwindaSole Member · (801) 941-4034
Enumeration DateJune 19, 2018
Last NPPES UpdateOctober 2, 20202 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1750875183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedNurse PractitionerTaxonomy 363L00000X
4035 S 500 E, Salt Lake City, UT 84107

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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 Health Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Savannah Health Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1194216895
5450 S GREEN ST STE A
Murray, UT 84123
(801) 486-4877
✔ PECOS2.6 mi

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

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 Health Group LLC's NPI number?

The NPI number for Savannah Health Group LLC is 1750875183. It was assigned to this organization in the NPPES registry on June 19, 2018.

Where is Savannah Health Group LLC located?

Savannah Health Group LLC is located at 4035 S 500 E, Salt Lake City, UT 84107. The listed phone number is (801) 262-9181.

What is Savannah Health Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Savannah Health Group LLC enrolled in Medicare?

Yes. Savannah Health Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Savannah Health Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Savannah Health Group 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Savannah Health Group LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Savannah Health Group 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 Health Group LLC was last updated on October 2, 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.