Organization Active NPI

Neurological Spine and Pain

  • Pain Medicine (Anesthesiology) Physician
  • Savannah, GA
National Provider Identifier
1134517527
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
058635 Issued in GA
Legal business name
NEUROLOGICAL SPINE AND PAIN
Practice address
8880 Abercorn St
Savannah, GA 31406-4508
Phone
(912) 231-4444
Fax
(912) 231-4440
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Priscilla J Ross, MD
Title
Owner
Phone
(912) 656-3023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X 058635 GA Primary

Addresses

Primary practice location

8880 Abercorn St
Savannah, GA 31406-4508

Mailing address

8880 Abercorn St
Savannah, GA 31406-4508
Phone (912) 656-3023

Other practice location 1

459 Highway 119 S
Springfield, GA 31329-3021
Phone (912) 231-4444

Other practice location 2

2 Ed Moore Ct Ste A
Statesboro, GA 30458-5024
Phone (912) 231-4444

Other identifiers 1

IdentifierTypeStateIssuer
003158386AMedicaidGA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2100027Neurological Spine and Pain459 Highway 119 South, Springfield, GA 31329Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1134517527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064508",
            "telephone_number": "912-656-3023",
            "fax_number": "912-231-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064508",
            "telephone_number": "912-231-4444",
            "fax_number": "912-231-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 Highway 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-231-4444",
            "fax_number": "912-231-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Ed Moore Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585024",
            "country_code": "US",
            "telephone_number": "912-231-4444",
            "fax_number": "912-231-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGICAL SPINE AND PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-656-3023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "058635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003158386A",
            "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 Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.