Organization Active NPI

Neurological Spine and Pain Center, LLC

  • Interventional Pain Medicine Physician
  • Savannah, GA
National Provider Identifier
1386213171
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
NEUROLOGICAL SPINE AND PAIN CENTER, LLC
Practice address
8880 Abercorn St
Savannah, GA 31406-4508
Phone
(912) 231-4444
Fax
(912) 231-4440
NPI assigned
Jun 24, 2021
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Priscilla J Ross, MD
Title
MD, Member
Phone
(912) 656-3023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

8880 Abercorn St
Savannah, GA 31406-4508

Mailing address

8880 Abercorn St
Savannah, GA 31406-4508
Phone (912) 656-3023

Other practice location 1

459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 231-4444

Other practice location 2

2 Ed Moore Ct Ste A
Statesboro, GA 30458-5024
Phone (912) 231-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220818002729 GA Part B Supplier - Clinic/Group Practice 0840673117 Receives reassigned benefits from 3 practitioners
Practice locations: Savannah, GA; Springfield, GA; Statesboro, GA

National Provider Directory

National Provider Directory

Locations

2 Ed Moore Ct
#A
Statesboro, GA 30458
Phone (912) 231-4444

Practitioners & affiliated clinicians

Practitioners 3

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": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1386213171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064508",
            "telephone_number": "912-656-3023",
            "fax_number": "912-231-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064508",
            "telephone_number": "912-231-4444",
            "fax_number": "912-231-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 Hwy 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-231-4444",
            "fax_number": "912-231-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Ed Moore Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585024",
            "country_code": "US",
            "telephone_number": "912-231-4444",
            "fax_number": "912-231-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGICAL SPINE AND PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD, MEMBER",
        "authorized_official_telephone_number": "912-656-3023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-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 Aug 30, 2023; 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.