Active NPI 1659362705 Individual Practitioner Female Practitioner

Dr. Ericka M. Russell Petty , MD

Pediatrics • Savannah, GA

Professional Overview & Biography Verified Profile Summary

Dr. Ericka Russell Petty, MD is a registered healthcare professional specializing in Pediatrics in Savannah, GA. Practice services are available at 3710 WATERS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3710 Waters Ave

Savannah, GA 314046209

Telephone 9127775490

Fax 9127775491

Associated Practice Facility / Clinic

🏢 Peds Health Facility NPI 1215483128

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Savannah, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.7 Yrs

State Avg: 21.2 Yrs

Regional Practice Density

68 Specialists

Practicing in Savannah, GA (2326 Statewide)

Telehealth Adoption Rate

0.0% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 047258

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000880448D (GA)

Medicaid State Provider ID

000880448H (GA)

Medicaid State Provider ID

000880448C (GA)

Medicaid State Provider ID

000880448E (GA)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 13, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 13, 2013

Registered at 3710 WATERS AVE, SAVANNAH, GA 314046209 (Tel: 9127775490)

📍

Updated Business Mailing Address August 13, 2013

Registered at 5710 OGEECHEE RD, STE 200 BOX 283, SAVANNAH, GA 314059515 (Tel: 9127775490)

👤

Provider Name / Credentials Updated August 13, 2013

Recorded as ERICKA RUSSELL PETTY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2013

Pediatrics (License #047258 in GA)

🟢

Initial NPI Registration & Enumeration October 28, 2005

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: 1659362705

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 28, 2005

Last Update: August 13, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5710 Ogeechee Rd, Ste 200 Box 283

Savannah, GA 314059515

Phone: 9127775490

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.