Dedicated Georgia Holding LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DEDICATED GEORGIA HOLDING LLC

Doing business as

Dedicated Senior Medical Center

Practice address

2104 E Victory Dr
Savannah, GA 31404

Phone

(901) 600-1222

Fax

(912) 600-1262

NPI assigned

Feb 15, 2022

Organization subpart

No

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

Authorized official

Name

Mary Chen

Title

Authorized Official

Phone

(305) 831-4722

Specialties & licenses 1

Addresses

Other names 1

• DEDICATED SENIOR MEDICAL CENTER Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dedicated Georgia Holding LLC

  dba Dedicated Senior Medical Center Victory Heights

  • Non-Pharmacy Dispensing Site
  • Savannah, GA
  • NPI 1679205926
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Chen, MD

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1740371152

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1578218814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 E VICTORY DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "901-600-1222",
            "fax_number": "912-600-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED GEORGIA HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-831-4722"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEDICATED SENIOR MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEDICATED SENIOR MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Paul Decamp, M.D.
• Ryan M Decarreau, PT
• Ismary Ojeda Decastro, MD
• Carl William Decker, M.D.
• Thomas F Decker, M.D.
• Dedicated Georgia Holding LLC (Dedicated Senior Medical Center Victory Heights)
• Aariel Lenai Dees, MD
• Caroline Adams Dees, PHARM.D.
• Ruth Duran Deffley, LCSW
• Define Brows, LLC (Define Brows)

• Internal Medicine Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.