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Provident Health Services, Inc.

Clinical Genetics (M.D.) Physician in Savannah, GA · enumerated 2006 · authorized official Robin Maddox, Provider Enrollment Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679634612

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Registry record

Entity type Organization (Type 2)
Legal business name Provident Health Services, Inc.
Other name <Unavail>
Practice address 4700 Waters Ave, Savannah, GA, 31404
Phone (912) 350-8490
Fax (912) 350-8199
Enumeration date Dec 13, 2006
Last updated in NPPES Nov 12, 2007

Taxonomy & classification

207SG0201X Clinical Genetics (M.D.) Physician Allopathic & Osteopathic Physicians Primary
207SG0203X Clinical Molecular Genetics Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Robin Maddox
Title Provider Enrollment Coordinator
Phone (912) 350-9335

Other identifiers

Identifier Type State Issuer
DF7661 Other SC RR MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Provident Health Services, Inc.?
The NPI for Provident Health Services, Inc. is 1679634612, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Provident Health Services, Inc.?
NPPES lists Robin Maddox (Provider Enrollment Coordinator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-12.