Provider Demographics
NPI:1033139050
Name:SCHILLING, ANDREAS (MD)
Entity Type:Individual
Prefix:
First Name:ANDREAS
Middle Name:
Last Name:SCHILLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14185
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-1185
Mailing Address - Country:US
Mailing Address - Phone:912-898-0536
Mailing Address - Fax:
Practice Address - Street 1:4700 WATERS AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6220
Practice Address - Country:US
Practice Address - Phone:912-350-8436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC223352085R0202X
NE233872085R0202X
AZ332062085R0202X
GA0580042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA10068472OtherAMERIGROUP
SC223350Medicaid
GA116825376AOtherPEACH STATE HEALTH PLAN
GAN347033OtherWELLCARE
GA116825376AMedicaid
GAP00340688OtherRAILROAD MEDICARE
GA52212349001OtherBCBS
GA10068472OtherAMERIGROUP
GA116825376AOtherPEACH STATE HEALTH PLAN
GA30BDNCWMedicare PIN