Active NPI
The Neurological Institute of Savannah & Center for Spine, PC
- Neurological Surgery Physician
- Pooler, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- THE NEUROLOGICAL INSTITUTE OF SAVANNAH & CENTER FOR SPINE, PC
- Practice address
- 101 St Josephs Candler Dr
Pooler, GA 31322-9579 - Phone
- (912) 355-1010
- Fax
- (912) 351-0589
- NPI assigned
- Jul 26, 2019
- Last updated
- Jul 22, 2021
- 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
- Carrie Bennett
- Title
- Coo
- Phone
- (912) 355-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary |
Addresses
Primary practice location
101 St Josephs Candler Dr
Pooler, GA 31322-9579
Mailing address
4 E Jackson Blvd
Savannah, GA 31405-5895
Phone (912) 355-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080718000382 | GA | Part B Supplier - Clinic/Group Practice | 6800969254 |
Receives reassigned benefits from 29 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Vidalia, GA; Statesboro, GA; Pooler, GA; Jesup, GA; Savannah, GA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Neurological Surgery Physician
- Savannah, GA
- NPI 1093740615
O20080718000382
-
- Neurological Surgery Physician
- Jesup, GA
- NPI 1427405505
O20080718000382
-
- Neurological Surgery Physician
- Statesboro, GA
- NPI 1770149478
O20080718000382
-
- Neurological Surgery Physician
- Vidalia, GA
- NPI 1215686241
O20080718000382
National Provider Directory
National Provider Directory- Tax ID family
- Neurological Institute of S
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neurological Surgery Physician
- Jesup, GA
- NPI 1427405505
-
- Neurological Surgery Physician
- Statesboro, GA
- NPI 1770149478
-
- Neurological Surgery Physician
- Vidalia, GA
- NPI 1215686241
-
- Neurological Surgery Physician
- Bluffton, SC
- NPI 1427358951
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Nurse Practitioner
- Savannah, GA
- NPI 1083040372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626912000000",
"number": "1528612728",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ST JOSEPHS CANDLER DR",
"city": "POOLER",
"state": "GA",
"postal_code": "313229579",
"telephone_number": "912-355-1010",
"fax_number": "912-351-0589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE NEUROLOGICAL INSTITUTE OF SAVANNAH & CENTER FOR SPINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-26",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "912-355-1010"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
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.