Individual provider Active NPI

George B Sutherland Jr., MD

  • Orthopaedic Surgery Physician
  • Savannah, GA
National Provider Identifier
1518177559
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
062612 Issued in GA
Practice address
210 E. Derenne Ave
Savannah, GA 31405
Phone
(912) 644-5300
Fax
(912) 644-5260
NPI assigned
May 22, 2007
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 062612 GA Primary
Orthopaedic Surgery Physician 207X00000X 32673 SC
Orthopaedic Surgery Physician 207X00000X 200792 LA

Addresses

Primary practice location

210 E. Derenne Ave
Savannah, GA 31405

Mailing address

210 East Derenne Avenue
Savannah, GA 31405-6736
Phone (912) 644-5300

Other practice location 1

8 N Williams St
Metter, GA 30439-4547
Phone (912) 685-3550

Other practice location 2

810 Towne Park Dr Ste 200
Rincon, GA 31326-5167
Phone (912) 826-2533

Other practice location 3

8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401

Other practice location 4

25 Hospital Center Blvd Ste 100
Hilton Head, SC 29926-2735
Phone (800) 827-6536

Other practice location 5

602 E Long St
Claxton, GA 30417-5914
Phone (912) 739-3275

Other practice location 6

101 W Mulberry Blvd, Ste 140
Pooler, GA 31322
Phone (912) 748-5111

Other practice location 7

166 Memorial Dr
Jesup, GA 31545-0101
Phone (912) 427-0800

Other practice location 8

16915 Highway 67 Ste A
Statesboro, GA 30458-5819
Phone (912) 681-2500

Other practice location 9

60 Exchange St Ste B1
Richmond Hill, GA 31324-7646
Phone (912) 756-2273

Other identifiers 2

IdentifierTypeStateIssuer
07059MedicaidLA
743656623KMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20091020000591 GA Practitioner - Orthopedic Surgery 6002953288 Reassigns benefits to 2 organizations
I20110121000970 SC Practitioner - Orthopedic Surgery 6002953288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Eastern Virginia Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optim Orthopedics LLCGroup PAC ID 9931427002, shared by 9 NPIs, 101 clinicians

Practice addresses (Care Compare)

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

8201 Pinellas Dr
Bluffton, SC 29910-4133
Phone (843) 705-9401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement40
Lower limb (leg) arthroscopy (minimally invasive joint repair)16
Upper limb (arm) arthroscopy (minimally invasive joint repair)61
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
062612GAMDOrthopaedic Surgery Physician
200792LAMDOrthopaedic Surgery Physician
32673SCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tattnall Hospital Company, LLC Orthopaedic Surgery CurrentSince Apr 24, 2018 Accepting new patients
Optim Orthopedics LLC CurrentSince Apr 1, 2015 Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery CurrentSince Apr 1, 2015 Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery Current Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery CurrentSince Apr 1, 2015 Accepting new patients
Tattnall Hospital Company, LLC Current Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company LLC Orthopaedic Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery PastSince Oct 6, 2019 Accepting new patients

Locations

821 S Main St
Ste C
Baxley, GA 31513
Phone (912) 367-5486

602 E Long St
Claxton, GA 30417
Phone (912) 739-2509

242 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140

790 Veterans Parkway
Ste 111
Hinesville, GA 31313
Phone (912) 368-3868

166 Memorial Dr
Jesup, GA 31545
Phone (912) 427-2111

8 N Williams St
Metter, GA 30439
Phone (912) 685-3550

961 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-0120

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

60 Exchange St
Ste B1
Richmond Hill, GA 31324
Phone (912) 756-2273

810 Towne Park Dr
Ste 200
Rincon, GA 31326
Phone (912) 826-2533

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

460 Mall Blvd
Ste B
Savannah, GA 31406
Phone (912) 644-1626

16915 Highway 67
#A
Statesboro, GA 30458
Phone (912) 681-2500

119B Victory Dr
Swainsboro, GA 30401
Phone (478) 237-7676

102 Rocky Ford Rd
Sylvania, GA 30467
Phone (912) 564-2155

209 Mims Rd
#A
Sylvania, GA 30467
Phone (912) 564-5236

1724 Old Reynolds St
#B
Waycross, GA 31501

8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401

25 Hospital Ctr
Ste 100
Hilton Head Island, SC 29926
Phone (843) 681-9489

Interoperability endpoints

  • Direct secure messaging: george.sutherland.1@16403.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1518177559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 EAST DERENNE AVENUE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056736",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E. DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 N Williams St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304394547",
            "country_code": "US",
            "telephone_number": "912-685-3550",
            "fax_number": "912-685-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Towne Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265167",
            "country_code": "US",
            "telephone_number": "912-826-2533",
            "fax_number": "912-826-2572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 Pinellas Dr",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "29910",
            "country_code": "US",
            "telephone_number": "843-705-9401",
            "fax_number": "843-705-9402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Hospital Center Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hilton Head",
            "state": "SC",
            "postal_code": "299262735",
            "country_code": "US",
            "telephone_number": "800-827-6536",
            "fax_number": "912-644-5241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 E Long St",
            "address_purpose": "LOCATION",
            "city": "Claxton",
            "state": "GA",
            "postal_code": "304175914",
            "country_code": "US",
            "telephone_number": "912-739-3275",
            "fax_number": "912-439-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Mulberry Blvd, Ste 140",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "31322",
            "country_code": "US",
            "telephone_number": "912-748-5111",
            "fax_number": "912-748-6699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315450101",
            "country_code": "US",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16915 Highway 67 Ste A",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585819",
            "country_code": "US",
            "telephone_number": "912-681-2500",
            "fax_number": "912-681-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Exchange St Ste B1",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313247646",
            "country_code": "US",
            "telephone_number": "912-756-2273",
            "fax_number": "912-756-3773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "GEORGE",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "062612",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "32673",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "200792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07059",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "743656623K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.