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Dr. Ismael Caleb Hernandez , MD

Physician β€’ Savannah, GA

Deactivated NPI 1104980713 Deactivated in NPPES Male Practitioner
Practice location in NPPES

10410 Abercorn St
Savannah, GA 314191138

Phone: 9129276832

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of May 04, 2020; the reason is not published. The records below are historical. They do not show whether Dr. Ismael Hernandez currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date December 20, 2006
NPI Deactivation Date May 04, 2020
NPI Active Period 2006 – 2020

Practice Location & Contact Primary Location

Practice Address

10410 Abercorn St

Savannah, GA 314191138

Telephone 9129276832
Organization at the Same NPPES Address or Phone
Hsc Abercorn Inc Facility NPI 1528217676

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Savannah and Georgia

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Clinic/Center - Emergency Care Primary Specialty

NUCC Taxonomy Code: 261QE0002X

License # reported to NPPES GA 019167
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Michael Hall , MD

Family Medicine

NPI 1871657031

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated May 04, 2020

NPPES lists this NPI as deactivated as of May 04, 2020; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Practice Location (Initial Record) July 08, 2007

Registered at 10410 ABERCORN ST, SAVANNAH, GA 314191138 (Tel: 9129276832)

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Business Mailing Address (Initial Record) July 08, 2007

Registered at 2 TURNING LEAF WAY, SAVANNAH, GA 314199887 (Tel: 9122346451)

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Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as ISMAEL HERNANDEZ, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Clinic/Center (license number reported to NPPES: GA 019167)

🟒
Initial NPI Registration & Enumeration December 20, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104980713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2006
Last Update: July 08, 2007
Deactivation Date: May 04, 2020

Mailing Address

2 Turning Leaf Way

Savannah, GA 314199887

Phone: 9122346451

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.