Active NPI
Seaport Plastic Surgery PC
- Plastic Surgery Physician
- Savannah, GA
National Provider Identifier
1407549959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- SEAPORT PLASTIC SURGERY PC
- Practice address
- 2280 E Victory Dr Ste C
Savannah, GA 31404-3957 - Phone
- (912) 468-5464
- NPI assigned
- May 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew D McLeod, MD
- Title
- Owner
- Phone
- (912) 468-5464
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
2280 E Victory Dr Ste C
Savannah, GA 31404-3957
Mailing address
2280 E Victory Dr Ste C
Savannah, GA 31404-3957
Phone (912) 468-5464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2280 E Victory Dr
Ste C
Savannah, GA 31404
Phone (912) 468-5464
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Savannah, GA
- NPI 1699933093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1407549959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 E VICTORY DR STE C",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314043957",
"telephone_number": "912-468-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 E VICTORY DR STE C",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314043957",
"telephone_number": "912-468-5464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEAPORT PLASTIC SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-31",
"last_updated": "2024-02-07",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "MCLEOD",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-468-5464",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"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 Feb 7, 2024; 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.