MARY CAROL LYTLE MD
NPI 1790720290
Pediatrics - Pediatric Critical Care Medicine in Savannah, GA

Active since June 18, 2006PECOS Enrolled
4700 WATERS AVE, SAVANNAH, GA 31404(912) 350-8180(912) 350-7221 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2022, Aug 7, 2018, Aug 31, 2017 (3 updates tracked since 2017).

About Mary Carol Lytle Md NPPES

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

MARY CAROL LYTLE MD (NPI 1790720290) is an individual pediatric critical care medicine provider in Savannah, Georgia, licensed in Georgia (056132) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790720290
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMARY CAROL LYTLECredential: MD
Location Address4700 WATERS AVESavannah, GA 31404-6220
Mailing Address4700 Waters AveSavannah, GA 31404-6220 · (912) 350-8180 · Fax (912) 350-7221
Fax(912) 350-7221
Sole ProprietorNo
Enumeration DateJune 18, 2006
Last NPPES UpdateJanuary 26, 20223 updates tracked since enumeration
NPI 1790720290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in GA · 056132
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 056132 (GA)
4700 WATERS AVE, Savannah, GA 31404

Other Identifiers 5

Other52172893-002GA · Bcbs Ga
Medicaid511379152AGA
MedicaidG56132SC
Other10065021GA · Amerigroup
Other349798GA · Wellcare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Carol Lytle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Pediatrics (Physician Nutrition Specialist)
4700 WATERS AVE
SAVANNAH, GA 31404
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Obstetrics & Gynecology
4700 WATERS AVE, SUITE CAM 500
SAVANNAH, GA 31404
Specialist/Technologist (Athletic Trainer)
4700 WATERS AVE
SAVANNAH, GA 31404
General Practice
4700 WATERS AVE
SAVANNAH, GA 31404
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Surgery (Surgical Critical Care)
4700 WATERS AVE
SAVANNAH, GA 31404
Emergency Medicine
4700 WATERS AVE
SAVANNAH, GA 31404

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 Mary Lytle's NPI number?

The NPI number for Mary Lytle is 1790720290. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Mary Lytle located?

Mary Lytle practices at 4700 Waters Ave, Savannah, GA 31404. The listed phone number is (912) 350-8180.

What is Mary Lytle's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Mary Lytle enrolled in Medicare?

Yes. Mary Lytle is registered in the Medicare PECOS enrollment system.

What insurance does Mary Lytle accept?

Health plans from Alliant Health Plans, Inc. list Mary Lytle 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 Mary Lytle was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.