Individual provider Active NPI

Ravindra K George, MD

  • Surgery Physician
  • Savannah, GA
National Provider Identifier
1619060415
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
45470 Issued in GA
Practice address
5354 Reynolds St Ste 202
Savannah, GA 31405-6009
Phone
(912) 352-0920
NPI assigned
Oct 2, 2006
Last updated
Oct 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036116875 IL
Surgery Physician 208600000X 45470 GA Primary

Addresses

Primary practice location

5354 Reynolds St Ste 202
Savannah, GA 31405-6009

Mailing address

PO Box 919
Rincon, GA 31326-0919
Phone (912) 826-4057

Other identifiers 3

IdentifierTypeStateIssuer
CE9335OtherILRR GRP
003156355AMedicaidGA
06132037OtherILBCBS

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
I20150420000440 GA Practitioner - General Surgery 8325045768 Reassigns benefits to 1 organization
I20151019000248 SC Practitioner - General Surgery 8325045768 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45470GAMDSurgery Physician
036116875ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Surgical PC Surgery CurrentSince Jan 1, 2015 Accepting new patients
Metro Surgical, PC Surgery CurrentSince Jan 1, 2015 Accepting new patients

Locations

594 S Columbia Ave
Ste 100
Rincon, GA 31326
Phone (248) 412-3450

5354 Reynolds St
Ste 202
Savannah, GA 31405
Phone (912) 352-0920

10 Oak Forest Rd
Ste B
Bluffton, SC 29910
Phone (912) 303-0891

Interoperability endpoints

  • Direct secure messaging: ravindrageorge@metrosurgi.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1619060415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313260919",
            "telephone_number": "912-826-4057",
            "fax_number": "912-826-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST STE 202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056009",
            "telephone_number": "912-352-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "RAVINDRA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036116875",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "45470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GRP",
            "identifier": "CE9335",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003156355A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06132037",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.