NPIMap

Organization Active NPI

Savannah Speech and Hearing Center Inc

  • Audiologist
  • Savannah, GA
National Provider Identifier
1184765729
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
SAVANNAH SPEECH AND HEARING CENTER INC
Practice address
5414 Skidaway Rd
Savannah, GA 31406-2248
Phone
(912) 355-4601
Fax
(912) 355-7935
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Carrie H Lancaster
Title
Bookkeeper
Phone
(912) 355-4601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

5414 Skidaway Rd
Savannah, GA 31406-2248

Mailing address

1206 E 66TH St
Savannah, GA 31404-5704
Phone (912) 355-4601

Other identifiers 4

IdentifierTypeStateIssuer
340991OtherGAWELLCARE ID NUMBER
100052108OtherGAAMERIGROUP ID NUMBER
GPA809MedicaidSC
300018620AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090828000042 GA Part B Supplier - Clinic/Group Practice 7517012404 Receives reassigned benefits from 3 practitioners
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1184765729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045704",
            "telephone_number": "912-355-4601",
            "fax_number": "912-355-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 SKIDAWAY RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062248",
            "telephone_number": "912-355-4601",
            "fax_number": "912-355-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH SPEECH AND HEARING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "912-355-4601"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE ID NUMBER",
            "identifier": "340991",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP ID NUMBER",
            "identifier": "100052108",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA809",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018620A",
            "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 Mar 5, 2024; 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.