Dedicated Georgia Holding LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

DEDICATED GEORGIA HOLDING LLC

Doing business as

Dedicated Senior Medical Center Victory Heights

Practice address

2104 E. Victory Drive
Savannah, GA 31404

Phone

(912) 600-1222

Fax

(912) 600-1262

NPI assigned

Jun 27, 2022

Organization subpart

Yes

Parent organization

DEDICATED GEORGIA HOLDING LLCAs reported in NPPES

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) 628-6117

Specialties & licenses 1

Addresses

Other names 1

• DEDICATED SENIOR MEDICAL CENTER VICTORY HEIGHTS Doing business as

Part of

Dedicated Georgia Holding LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dedicated Georgia Holding LLC

  dba Dedicated Senior Medical Center

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1578218814
  NPPES parent name

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1679205926",
    "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 DRIVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "912-600-1222",
            "fax_number": "912-600-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED GEORGIA HOLDING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEDICATED GEORGIA HOLDING LLC",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEDICATED SENIOR MEDICAL CENTER VICTORY HEIGHTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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)
• Aariel Lenai Dees, MD
• Caroline Adams Dees, PHARM.D.
• Ruth Duran Deffley, LCSW
• Define Brows, LLC (Define Brows)
• Charles Frederick Degenhardt III, M.D.

• Non-Pharmacy Dispensing Site in Savannah, GA
• Providers in Savannah, GA by specialty
• Non-Pharmacy Dispensing Site in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.