EDWARD PELLICANO – Psychiatry Physician, NPI 1225094402

EDWARD PELLICANO is a healthcare provider. based in Savannah, Georgia. specializing in PSYCHIATRY. They hold a License No. 037330 (GA). The NPI Number for EDWARD PELLICANO is 1225094402

Main info

Male
58 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD PELLICANO
NPI
1225094402
Phone
(912) 598-0501
Address
3 BELTON LN
Enumeration Date
25 April 2006
Last Update Date
28 March 2008

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7064947776
Graduation Year
1968 (58 years ago)
PAC ID
4981771490
Group Practice PAC ID
8224330410
Professional Enrollment ID
I20160201001034
Address ID
GA319012522CO421XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

832 PSYCHIATRY in GA

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Provider Addresses for EDWARD PELLICANO

  • 3 BELTON LN

    SAVANNAH, GA 314111632

    Phone: (912) 598-0501

    Type: Mailing

  • Georgia Regional Hospital, 1915, Eisenhower Drive, Brookview, Savannah, Chatham County, Georgia, 31406, United States

    SAVANNAH, GA 314065027

    Phone: (912) 356-2011

    Fax: (912) 351-3538

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $161.

Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.

Last reported payment date: 2023-07-19 • Largest payer in this snapshot: Indivior Inc. ($90).

Total Amount

$161

General + Research + Ownership

Payments

5

Total payment records

General Amount

$161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160201001034IPsychiatryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7932$0
99212Established patient office or other outpatient visit, 10-19 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 31411)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224330410View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
P S Y C H I A T R YGA
P S Y C H I A T R YGA
Clinical Social WorkerGA
Clinical Social WorkerGA
Nurse PractitionerGA
Nurse PractitionerGA
P S Y C H I A T R YGA
P S Y C H I A T R YGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for EDWARD PELLICANO?
EDWARD PELLICANO — NPI 1225094402 — is the standard way to identify this listing.
Can I rely on EDWARD PELLICANO being an active provider?
As of the registry snapshot, EDWARD PELLICANO is marked active.
What healthcare role does EDWARD PELLICANO hold?
Scheduling teams often label EDWARD PELLICANO under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What area does EDWARD PELLICANO serve?
EDWARD PELLICANO's listing highlights Savannah, Georgia; more addresses can appear in NPPES.
Is the information about EDWARD PELLICANO up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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