Active NPI
Mit Ambulatory Care Center
- Infusion Therapy Clinic/Center
- Savannah, GA
National Provider Identifier
1689632432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- MIT AMBULATORY CARE CENTER
- Practice address
- 115 Echols Ave
Savannah, GA 31406-2527 - Phone
- (912) 691-0333
- Fax
- (912) 691-1889
- NPI assigned
- May 2, 2006
- 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
- Mrs. Shameka Johnson
- Title
- Billing Manager
- Phone
- (912) 691-0333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
115 Echols Ave
Savannah, GA 31406-2527
Mailing address
PO Box 13663
Savannah, GA 31416-0663
Phone (912) 691-0333
National Provider Directory
National Provider DirectoryLocations
106 E Oglethorpe Ave
#A
Savannah, GA 31401
Phone (912) 691-1005
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1235462235
-
- Clinic/Center
- Savannah, GA
- NPI 1891812616
-
- Obstetrics & Gynecology Physician
- Savannah, GA
- NPI 1902927346
-
- Family Medicine Physician
- Savannah, GA
- NPI 1548341928
-
- Obstetrics & Gynecology Physician
- Vidalia, GA
- NPI 1215040829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1689632432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13663",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314160663",
"telephone_number": "912-691-0333",
"fax_number": "912-691-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ECHOLS AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062527",
"telephone_number": "912-691-0333",
"fax_number": "912-691-1889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIT AMBULATORY CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SHAMEKA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "912-691-0333",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"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 Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.