NPIMap

Organization Active NPI

The Neurological Institute of Savannah & Center for Spine P C

  • Neurological Surgery Physician
  • Bluffton, SC
National Provider Identifier
1427358951
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
THE NEUROLOGICAL INSTITUTE OF SAVANNAH & CENTER FOR SPINE P C
Practice address
12B Arley Way Ste 103
Bluffton, SC 29910-8860
Phone
(912) 355-1010
Fax
(912) 351-0589
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Mrs. Carrie C Bennett III
Title
Coo
Phone
(912) 355-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

12B Arley Way Ste 103
Bluffton, SC 29910-8860

Mailing address

4 E. Jackson Blvd.
Savannah, GA 31405-5895
Phone (912) 355-1010

Other practice location 1

10 Oak Forest Rd Ste B
Bluffton, SC 29910-4974
Phone (912) 355-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090127000204 SC Part B Supplier - Clinic/Group Practice 6800969254 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
Practice locations: Bluffton, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Neurolocial Inst of Sav5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12 Arley Way
Ste 103
Bluffton, SC 29910
Phone (843) 815-3006

Practitioners & affiliated clinicians

Practitioners 4

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": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1427358951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E. JACKSON BLVD.",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055895",
            "telephone_number": "912-355-1010",
            "fax_number": "912-721-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12B ARLEY WAY STE 103",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108860",
            "telephone_number": "912-355-1010",
            "fax_number": "912-351-0589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Oak Forest Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104974",
            "country_code": "US",
            "telephone_number": "912-355-1010",
            "fax_number": "912-351-0589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE NEUROLOGICAL INSTITUTE OF SAVANNAH & CENTER FOR SPINE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "912-355-1010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.