Organization Active NPI

Serenity Spine Center

  • Interventional Pain Medicine Physician
  • Savannah, GA
National Provider Identifier
1245877489
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SERENITY SPINE CENTER
Practice address
41 Park of Commerce Way Ste 200
Savannah, GA 31405-1369
Phone
(912) 201-1540
Fax
(912) 349-2609
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Chirag Patel, MDNPI 1154548071
Title
Owner, Member
Phone
(912) 201-1540

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

41 Park of Commerce Way Ste 200
Savannah, GA 31405-1369

Mailing address

41 Park of Commerce Way Ste 200
Savannah, GA 31405-1369
Phone (912) 201-1540

Other practice location 1

459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 201-1540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200306001543 GA Part B Supplier - Clinic/Group Practice 0941638852 Receives reassigned benefits from 2 practitioners
Practice locations: Savannah, GA; Springfield, GA

National Provider Directory

National Provider Directory

Locations

41 Park of Commerce Way
Ste 200
Savannah, GA 31405
Phone (912) 201-1540

Practitioners & affiliated clinicians

Practitioners 2

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": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1245877489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PARK OF COMMERCE WAY STE 200",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051369",
            "telephone_number": "912-201-1540",
            "fax_number": "912-349-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PARK OF COMMERCE WAY STE 200",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051369",
            "telephone_number": "912-201-1540",
            "fax_number": "912-349-2609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 Hwy 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-201-1540",
            "fax_number": "912-349-2609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "912-201-1540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "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 Jun 29, 2020; 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.