Active NPI
Meadows Regional Medical Center
- Radiology Clinic/Center
- Savannah, GA
National Provider Identifier
1164779104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- GA977-1
- Legal business name
- MEADOWS REGIONAL MEDICAL CENTER
- Practice address
- 11700 Mercy Blvd Plaza D Suite B
Savannah, GA 31419-1798 - Phone
- (912) 961-8642
- NPI assigned
- Aug 9, 2012
- Organization subpart
- Yes
- Parent organization
- MEADOWS REGIONAL MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John R Cornell
- Title
- Cfo - VP of Finance
- Phone
- (912) 537-5826
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | GA977-1 | GA | Primary |
Addresses
Primary practice location
11700 Mercy Blvd Plaza D Suite B
Savannah, GA 31419-1798
Mailing address
1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 538-5826
Other names 1
- MEADOWS DIAGNOSTIC CENTER OF SAVANNAH
National Provider Directory
National Provider Directory- Part of
- Meadows Dia Ctr of Savan
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360800000000",
"number": "1164779104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEADOWS PKWY",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304748759",
"telephone_number": "912-538-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 MERCY BLVD PLAZA D SUITE B",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191798",
"telephone_number": "912-961-8642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOWS REGIONAL MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEADOWS REGIONAL MEDICAL CENTER",
"enumeration_date": "2012-08-09",
"last_updated": "2013-02-14",
"status": "A",
"authorized_official_last_name": "CORNELL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CFO - VP OF FINANCE",
"authorized_official_telephone_number": "912-537-5826",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "GA",
"license": "GA977-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MEADOWS DIAGNOSTIC CENTER OF SAVANNAH",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.