Savannah Neurology Specialists P C

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

028560 Issued in GA

Legal business name

SAVANNAH NEUROLOGY SPECIALISTS P C

Practice address

5356 Reynolds St
Suite 300
Savannah, GA 31405-6016

Phone

(912) 353-3333

Fax

(912) 790-4840

NPI assigned

May 28, 2009

Organization subpart

No

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

Authorized official

Name

Joanne Johanson

Title

Administrator

Phone

(912) 353-3333

Specialties & licenses 1

Addresses

Other names 1

• Savannah Neurology Specialists Reynolds Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Savannah Neurology Specialists P C

  • Neurology Physician
  • Savannah, GA
  • NPI 1629203294

  O20091016000328

  Same enrollment

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1047

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1528293040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 WATERS AVE",
            "address_2": "BUILDING C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062716",
            "telephone_number": "912-354-7676",
            "fax_number": "912-354-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST",
            "address_2": "SUITE 300",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056016",
            "telephone_number": "912-353-3333",
            "fax_number": "912-790-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH NEUROLOGY SPECIALISTS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "JOHANSON",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-353-3333"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "028560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Neurology Specialists Reynolds",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Savannah Multispecialty Associates, LLC
• Savannah Multispecialty Associates, LLC
• Savannah Natural Health Clinic LLC
• Savannah Nephrology,PC
• Savannah Neurology PC
• Savannah Neurology Specialists P C
• Savannah Neuropsychology Inc
• Savannah OBGYN PC
• Savannah Opco, LLC
• Savannah Oral and Facial Surgery

• Neurology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.