Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447286414 Individual Practitioner Female Practitioner

Mary T Stauble , PA

Physician Assistant • Savannah, GA

Professional Overview & Biography Verified Profile Summary

Mary Stauble, PA is a registered healthcare professional specializing in Physician Assistant in Savannah, GA. Practice services are available at 5 EXECUTIVE CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5 Executive Cir

Savannah, GA 314063345

Telephone 9123552400
Fax 9123555324
Associated Practice Facility / Clinic
🏢 Carolina Emergency Associates Facility NPI 1275563942

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Savannah, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
247 Specialists

Practicing in Savannah, GA (4726 Statewide)

Telehealth Adoption Rate
6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 003769

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100002786A (GA)
Medicaid State Provider ID
100002096A (GA)
Medicaid State Provider ID
100002095A (GU)
Medicaid State Provider ID
100002097A (GA)
Commercial Insurance / Payer ID Amerigroup
10059212 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Patricia Butler , NP

Nurse Practitioner

NPI 1104861004

Nurse Practitioner

Dwight Brown , PA-C

Physician Assistant

NPI 1124055140

Physician Assistant (Certified)

Dr. Ruth Crider , MD

Emergency Medicine

NPI 1124055413

Doctor of Medicine (M.D.)

Dr. Richard Shields , MD

Emergency Medicine

NPI 1184660979

Doctor of Medicine (M.D.)

Robert Bliesath , PA

Physician Assistant

NPI 1194752287

Physician Assistant

Janet O'hara , NP

Nurse Practitioner

NPI 1215970066

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 23, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2008

Registered at 5 EXECUTIVE CIR, SAVANNAH, GA 314063345 (Tel: 9123552400)

📍
Updated Business Mailing Address May 23, 2008

Registered at 5 EXECUTIVE CIR, SAVANNAH, GA 314063345 (Tel: 9123552400)

👤
Provider Name / Credentials Updated May 23, 2008

Recorded as MARY STAUBLE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2008

Physician Assistant (License #003769 in GA)

🟢
Initial NPI Registration & Enumeration June 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447286414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2006
Last Update: May 23, 2008
Sole Proprietor: No

Mailing Address

5 Executive Cir

Savannah, GA 314063345

Phone: 9123552400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.