ELIZABETH BAKER BRENNAN (P.A.) – Physician Assistant, NPI 1710904727

ELIZABETH BAKER BRENNAN (P.A.) is a healthcare provider. based in Savannah, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 004143 (GA). The NPI Number for ELIZABETH BAKER BRENNAN (P.A.) is 1710904727

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH BAKER BRENNAN (P.A.)
NPI
1710904727
Phone
(912) 354-1018
Address
6510 WATERS AVE
Enumeration Date
16 July 2006
Last Update Date
24 November 2021

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9123541018
Graduation Year
2003 (23 years ago)
PAC ID
2466343777
Group Practice PAC ID
7618164112
Professional Enrollment ID
I20040324000455
Address ID
GA314062714SA6510XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for ELIZABETH BAKER BRENNAN (P.A.)

  • 6510 WATERS AVE

    SAVANNAH, GA 314062714

    Phone: (912) 354-1018

    Fax: (912) 354-1019

    Type: Mailing

  • 11909D MCAULEY DR

    SAVANNAH, GA 314191709

    Phone: (912) 927-0785

    Fax: (912) 927-6572

    Type: Location

  • 602, East 72nd Street, Fairway Oaks, Kensington Park, Savannah, Chatham County, Georgia, 31405, United States

    SAVANNAH, GA 314054913

    Phone: (912) 819-7800

    Fax: (912) 819-7850

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 164 Open Payments records for all available years, with a total value of $3,547.

Total Amount is formed as General ($3,547) + Research ($0) + Ownership ($0) = $3,547.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($607).

Total Amount

$3,547

General + Research + Ownership

Payments

164

Total payment records

General Amount

$3,547

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2004-03-24

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
I20040324000455IPhysician AssistantGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31406)

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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: 7618164112View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

How do payers reference ELIZABETH BAKER BRENNAN (P.A.)?
For ELIZABETH BAKER BRENNAN (P.A.), use NPI 1710904727 as the unique 10-digit identifier.
Active or inactive — what applies to ELIZABETH BAKER BRENNAN (P.A.)?
You should see ELIZABETH BAKER BRENNAN (P.A.) as active in CMS-hosted NPPES data.
How would a patient describe ELIZABETH BAKER BRENNAN (P.A.)'s focus?
For ELIZABETH BAKER BRENNAN (P.A.), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with ELIZABETH BAKER BRENNAN (P.A.)?
Directory geography for ELIZABETH BAKER BRENNAN (P.A.) centers on Savannah, Georgia.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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