Organization Active NPI

Savannah Bone and Joint, P.C.

  • Specialist
  • Savannah, GA
National Provider Identifier
1003083072
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
051568 Issued in GA
Legal business name
SAVANNAH BONE AND JOINT, P.C.
Practice address
11909 McAuley Drive
Suite 100 A2
Savannah, GA 31419-1794
Phone
(912) 925-3767
Fax
(912) 925-3659
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Anthony Winchell, MD
Title
President
Phone
(912) 925-3767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 051568 GA Primary

Addresses

Primary practice location

11909 McAuley Drive
Suite 100 A2
Savannah, GA 31419-1794

Mailing address

11909 McAuley Drive
Suite 100 A2
Savannah, GA 31419-1794
Phone (912) 925-3767

Other identifiers 1

IdentifierTypeStateIssuer
GRP6961OtherGAMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

11909 McAuley Dr
Ste A2
Savannah, GA 31419
Phone (912) 925-3767

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11200/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1003083072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11909 MCAULEY DRIVE",
            "address_2": "SUITE 100 A2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191794",
            "telephone_number": "912-925-3767",
            "fax_number": "912-925-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909 MCAULEY DRIVE",
            "address_2": "SUITE 100 A2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191794",
            "telephone_number": "912-925-3767",
            "fax_number": "912-925-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH BONE AND JOINT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "WINCHELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-925-3767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "051568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP6961",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.