Individual provider Active NPI

Gregory O Spellman, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Savannah, GA
National Provider Identifier
1407083207
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
69715 Issued in GA
Practice address
4425 Paulsen St
Savannah, GA 31405-3662
Phone
(912) 355-6615
Fax
(912) 351-0645
NPI assigned
Jun 18, 2009
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 36789 SC
Pain Medicine (Anesthesiology) Physician 207LP2900X 36739 SC
Pain Medicine Physician 208VP0000X 36739 SC
Student in an Organized Health Care Education/Training Program 390200000X GA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 69715 GA Primary

Addresses

Primary practice location

4425 Paulsen St
Savannah, GA 31405-3662

Mailing address

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

Other practice location 1

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 355-6615

Other practice location 2

1203 Gandy Dancer
Richmond Hill, GA 31324-8895
Phone (912) 355-6615

Other practice location 3

1326 Eisenhower Dr Bldg 1
Savannah, GA 31406-3928
Phone (912) 355-6615

Other practice location 4

4425A Paulsen St Fl 2
Savannah, GA 31405-3637
Phone (912) 355-6615

Other practice location 5

1000 Towne Center Blvd Ste 602
Pooler, GA 31322-4071
Phone (912) 355-6615

Other practice location 6

4425 Paulsen St Fl 2
Savannah, GA 31405-3663
Phone (912) 355-6615

Other practice location 7

4812 Bluffton Parkway
Bluffton, SC 29910
Phone (912) 355-6615

Other practice location 8

459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 355-6615

Other practice location 9

11702 Mercy Blvd Ste 2D
Savannah, GA 31419-1777
Phone (912) 355-6615

Other practice location 10

613 Towne Park Dr W Ste 303-304
Rincon, GA 31326-5182
Phone (912) 355-6615

Other practice location 11

101 St Josephs Candler Dr Fl 1
Pooler, GA 31322-9584
Phone (912) 355-6615

Other practice location 12

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 355-6615

Other practice location 13

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 355-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140918001438 SC Practitioner - Pain ManagementPractitioner - Anesthesiology 3274752555
I20160614001304 GA Practitioner - Pain ManagementPractitioner - Anesthesiology 3274752555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Orthopedic Practice, LLCGroup PAC ID 4385927771, 23 clinicians

Practice addresses (Care Compare)

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 355-6615

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.29 of 100Reported as group
Quality
54.82
Improvement activities
40
Cost
80.45

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
83.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36789SCMDAnesthesiology Physician
36739SCMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Effingham Orthopedic Practice, LLC CurrentSince May 1, 2020 Accepting new patients
Chatham Orthopaedic Associates, PA CurrentSince May 1, 2020 Accepting new patients

Locations

1000 Towne Center Blvd
Ste 602
Pooler, GA 31322
Phone (912) 228-3502

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100

4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100

4425 Paulsen St
Bldg A
Savannah, GA 31405
Phone (912) 350-6000

4425 Paulsen St
Bldg B
Savannah, GA 31405

4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820

4425 Paulsen St
Fl 2A
Savannah, GA 31405

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

Interoperability endpoints

  • Direct secure messaging: gregory.spellman.1@18355.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1407083207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
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            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5353 Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056015",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 Gandy Dancer",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313248895",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1326 Eisenhower Dr Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063928",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4425A Paulsen St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314053637",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Towne Center Blvd Ste 602",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224071",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4425 Paulsen St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314053663",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4812 Bluffton Parkway",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "29910",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Hwy 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11702 Mercy Blvd Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191777",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 Towne Park Dr W Ste 303-304",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265182",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 St Josephs Candler Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229584",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11705 Mercy Blvd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191711",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "GREGORY",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "36789",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "36739",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "SC",
            "license": "36739",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "69715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.