PRIMARY CARE WILMINGTON ISLAND
NPI 1982360236
Clinic/Center - Primary Care in Savannah, GA
About Primary Care Wilmington Island NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE WILMINGTON ISLAND (NPI 1982360236) is a healthcare organization registered as a primary care in Savannah, Georgia and active in the NPI registry since November 2021. The organization lists Brittany Wilson, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Care Wilmington Island is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Primary Care Wilmington Island, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Skidaway Medical Group LLC's NPI number?
The NPI number for Skidaway Medical Group LLC is 1982360236. It was assigned to this organization in the NPPES registry on November 11, 2021. The provider is doing business as Primary Care Wilmington Island.
Where is Skidaway Medical Group LLC located?
Skidaway Medical Group LLC is located at 212 Johnny Mercer Blvd, Savannah, GA 31410. The listed phone number is (912) 201-1140.
What is Skidaway Medical Group LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Skidaway Medical Group LLC enrolled in Medicare?
Yes. Skidaway Medical Group LLC is registered in the Medicare PECOS enrollment system.
When is Skidaway Medical Group LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Skidaway Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Skidaway Medical Group LLC, in Emergency Medicine, General Practice 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Skidaway Medical Group LLC was last updated on November 16, 2021. 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.
# Primary Care Wilmington Island · NPI 1982360236
Primary Care organization in Savannah, Georgia. Organization record, active in the CMS NPPES registry since November 11, 2021.
## Identity
- **NPI:** 1982360236 (Entity type: Organization)
- **Enumerated:** November 11, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Skidaway Medical Group Llc
- **Organization subpart:** Yes (part of Skidaway Medical Group Llc)
- **Authorized official:** Brittany Wilson, MANAGER
## Practice location
- **Address:** 212 JOHNNY MERCER BLVD, Savannah, GA 31410-2156
- **Phone:** (912) 201-1140
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (2), Nurse Practitioner (2), General Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1982360236) · Data from the CMS NPPES public registry.