Active NPI
Sally Lanier Flanagan, LICENSED PROFESSIONA
- Counselor
- Savannah, GA
National Provider Identifier
1386857803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPCGA002397
- Practice address
- 3025 Bull St
#105
Savannah, GA 31405 - Phone
- (912) 656-0028
- Fax
- (912) 898-0370
- NPI assigned
- May 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPCGA002397 | GA | Primary |
Addresses
Primary practice location
3025 Bull St
#105
Savannah, GA 31405
Mailing address
1010 Tara Street
Savannah, GA 31410
Phone (912) 656-0028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCGA002397 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386857803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 TARA STREET",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31410",
"telephone_number": "912-656-0028",
"fax_number": "912-898-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 BULL ST",
"address_2": "#105",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31405",
"telephone_number": "912-656-0028",
"fax_number": "912-898-0370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "SALLY",
"middle_name": "LANIER",
"name_prefix": "Ms.",
"credential": "LICENSED PROFESSIONA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPCGA002397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
- Shay L Fitzgerald, SLP
- Five Star Rehabilitation and Wellness Services, LLC (Ageility Physical Therapy Solutions at Savannah Square)
- Five Star Savannah Square LLC (Savannah Square Health Center)
- Regan Flagg, DO
- James L Flanagan, LPC
- Hugh Dorsey Flanders, MD
- Flawless Testing Solutions
- Brandi S Fleenor, MD
- John Trafton Fleetwood, Jr., O.D.
- Laura B Fleiner, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.