Organization Active NPI

First Choice Wellness and Physical Medicine

  • General Practice Physician
  • Savannah, GA
National Provider Identifier
1174705073
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
038692 Issued in GA
Legal business name
FIRST CHOICE WELLNESS AND PHYSICAL MEDICINE
Practice address
340 Eisenhower Dr Ste 610
Savannah, GA 31406-1616
Phone
(912) 354-4004
Fax
(912) 354-4009
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Authorized official

Name
Sandra Kae Bohnstengel, MDNPI 1356410112
Title
Physician
Phone
(912) 354-4044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 038692 GA Primary

Addresses

Primary practice location

340 Eisenhower Dr Ste 610
Savannah, GA 31406-1616

Mailing address

340 Eisenhower Drive
Ste.610
Savannah, GA 31405-5829
Phone (912) 354-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090115000607 GA Part B Supplier - Clinic/Group Practice 8022171115 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

136 SW Broad St
Jesup, GA 31545
Phone (912) 427-3300

340 Eisenhower Dr
Ste 610
Savannah, GA 31406
Phone (912) 354-4044

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1174705073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DRIVE",
            "address_2": "STE.610",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055829",
            "telephone_number": "912-354-4004",
            "fax_number": "912-354-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR STE 610",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061616",
            "telephone_number": "912-354-4004",
            "fax_number": "912-354-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE WELLNESS AND PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "BOHNSTENGEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KAE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "912-354-4044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "038692",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.