Urology Surgery Center of Savannah, LLLP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

025276 Issued in GA

Legal business name

UROLOGY SURGERY CENTER OF SAVANNAH, LLLP

Practice address

230 E Derenne Ave
Savannah, GA 31405-6736

Phone

(912) 790-4068

Fax

(912) 790-4407

NPI assigned

Feb 21, 2006

Organization subpart

No

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

Authorized official

Name

Robin Elaine Shaw

Title

Billing Manager

Phone

(912) 790-4000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• UROLOGY SURGERY CENTER, LLP Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Urology Surgery Center of Savannah LLLPCCN 11C0001237

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Urological Associates of Savannah, PC

  • Urology Physician
  • Savannah, GA
  • NPI 1427013440

  Member Of

  NPD member

Locations

Practitioners 3

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

• James C Judy, M.D.

  • Urology Physician
  • Savannah, GA
  • NPI 1861458440
  NPD
• Buffi G Boyd, M.D.

  • Urology Physician
  • Savannah, GA
  • NPI 1902861917
  NPD (past)
• Michael Jon Cox, M.D.

  • Urology Physician
  • Savannah, GA
  • NPI 1245441690
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1124093588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13427",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314160427",
            "telephone_number": "912-790-4068",
            "fax_number": "912-790-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056736",
            "telephone_number": "912-790-4068",
            "fax_number": "912-790-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SURGERY CENTER OF SAVANNAH, LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "912-790-4000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "025276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "916212415A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC062",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UROLOGY SURGERY CENTER, LLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Urgent Care of Wilmington Island LLC
• Urgent Care Savannah LLC
• Urgent Kids Care, LLC
• Urological Associates of Savannah, PC
• Urology Specialists of Coastal Georgia
• US Spinal Solutions, LLC
• Uscg Airsta Savannah Medical Clinic
• Callynn Usher, PA-C
• Charles Hendry Usher, MD
• Pamela Usher, AA

• Ambulatory Surgical Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.