Organization Active NPI

William Amos Immel

  • Community/Behavioral Health Agency
  • Savannah, GA
National Provider Identifier
1316573165
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WILLIAM AMOS IMMEL
Practice address
3025 Bull St Ste 250
Savannah, GA 31405-2016
Phone
(912) 401-9500
Fax
(404) 585-4775
NPI assigned
Mar 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
William Amos ImmelNPI 1801953500
Title
Owner
Phone
(912) 401-9500

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3025 Bull St Ste 250
Savannah, GA 31405-2016

Mailing address

54 Shipwreck CT
Savannah, GA 31410-2112
Phone (912) 604-2096

National Provider Directory

National Provider Directory

Locations

3025 Bull St
Ste 250
Savannah, GA 31405
Phone (912) 401-9500

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": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1316573165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SHIPWRECK CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102112",
            "telephone_number": "912-604-2096",
            "fax_number": "404-585-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 BULL ST STE 250",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052016",
            "telephone_number": "912-401-9500",
            "fax_number": "404-585-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM AMOS IMMEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "IMMEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "AMOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-401-9500"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.