Individual provider Active NPI

Syl Alan Lord, MD

  • Colon & Rectal Surgery Physician
  • Savannah, GA
National Provider Identifier
1093758443
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
032776 Issued in GA
Practice address
4750 Waters Ave
Suite 103
Savannah, GA 31404-6200
Phone
(912) 350-8712
Fax
(912) 350-8753
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 19122 SC
Colon & Rectal Surgery Physician 208C00000X 032776 GA Primary

Addresses

Primary practice location

4750 Waters Ave
Suite 103
Savannah, GA 31404-6200

Mailing address

4750 Waters Ave
Suite 103
Savannah, GA 31404-6200
Phone (912) 350-8712

Other identifiers 4

IdentifierTypeStateIssuer
280000999OtherGARR MEDICARE
G32776MedicaidSC
000423013HMedicaidGA
000423013JMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slord59045@epicsav.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426001279 GA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 3678512951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Medical College of Georgia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

50 Schenck Pkwy
Asheville, NC 28803-3499

PO Box
Suite 919
Rincon, GA 31326-0919

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as individual
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032776GAMDColon & Rectal Surgery Physician
19122SCMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Surgical PC Colon & Rectal Surgery CurrentSince Jun 1, 2018 Accepting new patients
Savannah Multispecialty Associates, LLC CurrentSince Oct 15, 2019 Accepting new patients
Metro Surgical, PC Colon & Rectal Surgery CurrentSince Jun 1, 2018 Accepting new patients
MPPG, Inc. Colon & Rectal Surgery CurrentSince Feb 28, 2001 Accepting new patients
Georgia Nasal & Sinus Institute, PC PastSince Sep 1, 2017 Accepting new patients

Locations

594 S Columbia Ave
Ste 100
Rincon, GA 31326
Phone (248) 412-3450

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4750 Waters Ave
Ste 103
Savannah, GA 31404
Phone (912) 350-2299

4700 Waters Ave
Ste 1
Savannah, GA 31404

4700 Waters Ave
Fl 1
Savannah, GA 31404
Phone (912) 350-3438

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1093758443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE",
            "address_2": "SUITE 103",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046200",
            "telephone_number": "912-350-8712",
            "fax_number": "912-350-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE",
            "address_2": "SUITE 103",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046200",
            "telephone_number": "912-350-8712",
            "fax_number": "912-350-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "SYL",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "SC",
            "license": "19122",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "032776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "280000999",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G32776",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000423013H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000423013J",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slord59045@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "4750 Waters Ave",
            "address_2": "SUITE 103",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314046200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.