NPIMap

Organization Active NPI

The Neurological Institute of Savannah & Center for Spine, PC

  • Neurological Surgery Physician
  • Vidalia, GA
National Provider Identifier
1215686241
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
THE NEUROLOGICAL INSTITUTE OF SAVANNAH & CENTER FOR SPINE, PC
Practice address
1707 Meadows LN Ste E
Vidalia, GA 30474-7201
Phone
(912) 355-1010
Fax
(912) 721-3092
NPI assigned
Mar 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Carrie C Bennett
Title
Coo
Phone
(912) 355-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1707 Meadows LN Ste E
Vidalia, GA 30474-7201

Mailing address

4 E Jackson Blvd
Savannah, GA 31405-5810
Phone (912) 355-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080718000382 GA Part B Supplier - Clinic/Group Practice 6800969254 Receives reassigned benefits from 29 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vidalia, GA; Statesboro, GA; Pooler, GA; Jesup, GA; Savannah, GA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Neurological Inst of Sav5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

930 S 1st St
Jesup, GA 31545
Phone (912) 385-2702

1213 Merchant Way
Unit A
Statesboro, GA 30458

412 Northside Dr E
Statesboro, GA 30458
Phone (912) 225-0777

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1215686241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E JACKSON BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055810",
            "telephone_number": "912-355-1010",
            "fax_number": "912-351-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 MEADOWS LN STE E",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747201",
            "telephone_number": "912-355-1010",
            "fax_number": "912-721-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROLOGICAL INSTITUTE OF SAVANNAH & CENTER FOR SPINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "912-355-1010"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.