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ACI SURGICAL ASSOCIATES
NPI 1912149907
Surgery - Surgical Oncology in Savannah, GA

Active since April 06, 2009
4750 WATERS AVE, SUITE 103, SAVANNAH, GA 31404(912) 350-2299(912) 350-2298 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Aci Surgical Associates NPPES

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

ACI SURGICAL ASSOCIATES (NPI 1912149907) is a healthcare organization registered as a surgical oncology in Savannah, Georgia and active in the NPI registry since April 2009. The organization lists Robin J Maddox, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1912149907
Entity TypeOrganization
Primary Taxonomy2086X0206X
Legal Business NamePROVIDENT HEALTH SURGICAL ASSOCIATES, INC.
Location Address4750 WATERS AVE, SUITE 103Savannah, GA 31404-6200
Mailing AddressPo Box 102019Atlanta, GA 30368-2019 · (912) 350-2299 · Fax (912) 350-2298
Phone(912) 350-2299
Fax(912) 350-2298
Organization SubpartNo
Authorized OfficialRobin J MaddoxProvider Enrollment Coordinator · (912) 350-9335
Enumeration DateApril 6, 2009
Last NPPES UpdateMay 3, 2011
✔ NPI 1912149907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X
4750 WATERS AVE, Savannah, GA 31404
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Other Names 1

Doing Business AsAci Surgical Associates

Other Identifiers 3

Medicaid824884292AGA
Medicare PIN511G701119GA
OtherDO4195GA · Rr Medicare

Group Practice 1

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

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.

ANTHONY BRUNO ROYEK MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4750 WATERS AVE, SUITE 302
SAVANNAH, GA 31404
Chatham County (912) 350-5970
EDWARD J COHN JR. M.D.
Surgery (Vascular Surgery)
4750 WATERS AVE, SUITE 500
SAVANNAH, GA 31404
Chatham County (866) 957-8346
MPPG, INC.
Physical Medicine & Rehabilitation
4750 WATERS AVE, SUITE 108
SAVANNAH, GA 31404
Chatham County (912) 350-5940
CHILDREN'S LUNG AND SLEEP ASSOCIATES
Pediatrics (Pediatric Pulmonology)
4750 WATERS AVE, SUITE 301
SAVANNAH, GA 31404
Chatham County (912) 721-0050
MRS. KAREN A. BOUCHARD PA-C
Physician Assistant
4750 WATERS AVE, SUITE 103
SAVANNAH, GA 31404
Chatham County (912) 350-8712
SYL ALAN LORD MD
Colon & Rectal Surgery
4750 WATERS AVE, SUITE 103
SAVANNAH, GA 31404
Chatham County (912) 350-8712
DR. KIRSTIN J. NELSON M.D.
Radiology (Diagnostic Radiology)
4750 WATERS AVE, SUITE 500
SAVANNAH, GA 31404
Chatham County (912) 352-8346
ELLA CATHERINE LYONS NP-C
Nurse Practitioner
4750 WATERS AVE, SUITE 202
SAVANNAH, GA 31404
Chatham County (912) 350-7412

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 Provident Health Surgical Associates, Inc.'s NPI number?

The NPI number for Provident Health Surgical Associates, Inc. is 1912149907. It was assigned to this organization in the NPPES registry on April 6, 2009. The provider is doing business as Aci Surgical Associates.

Where is Provident Health Surgical Associates, Inc. located?

Provident Health Surgical Associates, Inc. is located at 4750 Waters Ave Suite 103, Savannah, GA 31404. The listed phone number is (912) 350-2299.

What is Provident Health Surgical Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

When was this NPI record last updated?

The NPPES record for Provident Health Surgical Associates, Inc. was last updated on May 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.