Organization Active NPI

Precision Spine and Joint LLC

  • Orthopedic Chiropractor
  • Savannah, GA
National Provider Identifier
1669097838
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
Legal business name
PRECISION SPINE AND JOINT LLC
Practice address
130 Tibet Ave Apt 202
Savannah, GA 31406-9030
Phone
(772) 546-9591
NPI assigned
Jun 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Miss Jeneane M. WakulaNPI 1003238015
Title
Office Manager
Phone
(772) 263-1642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X Primary

Addresses

Primary practice location

130 Tibet Ave Apt 202
Savannah, GA 31406-9030

Mailing address

312 Jackson Woods Blvd
Savannah, GA 31405-5913
Phone (772) 546-9591

National Provider Directory

National Provider Directory

Locations

130 Tibet Ave
Apt 202
Savannah, GA 31406
Phone (912) 335-1743

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.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1669097838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 JACKSON WOODS BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055913",
            "telephone_number": "772-546-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TIBET AVE APT 202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314069030",
            "telephone_number": "772-546-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SPINE AND JOINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "WAKULA",
        "authorized_official_first_name": "JENEANE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-263-1642",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.