Organization Active NPI

Savannah Surgery Center, LLC

  • Surgery Physician
  • Savannah, GA
National Provider Identifier
1124401591
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
050761 Issued in GA
Legal business name
SAVANNAH SURGERY CENTER, LLC
Practice address
5102 Paulsen St
BLDG 2
Savannah, GA 31405-4601
Phone
(912) 354-8331
Fax
(912) 352-9782
NPI assigned
Jul 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Authorized official

Name
Norman Lee Yates III, MD
Title
Physician/Owner
Phone
(912) 354-8331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 050761 GA Primary

Addresses

Primary practice location

5102 Paulsen St
BLDG 2
Savannah, GA 31405-4601

Mailing address

5102 Paulsen St
BLDG 2
Savannah, GA 31405-4601
Phone (912) 354-8331

Other identifiers 1

IdentifierTypeStateIssuer
1538197355OtherGAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435881600000",
    "number": "1124401591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "address_2": "BLDG 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-354-8331",
            "fax_number": "912-352-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "address_2": "BLDG 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-354-8331",
            "fax_number": "912-352-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "912-354-8331",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "050761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1538197355",
            "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 Jul 3, 2015; 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.