Organization Active NPI

Georgia Center for Reproductive Medicine

  • Reproductive Endocrinology Physician
  • Savannah, GA
National Provider Identifier
1700956984
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
GEORGIA CENTER FOR REPRODUCTIVE MEDICINE
Practice address
5354 Reynolds St
Suite 510
Savannah, GA 31405-6007
Phone
(912) 352-8588
Fax
(912) 352-8893
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carolyn Blohm
Title
V.P
Phone
(912) 352-8588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X Primary

Addresses

Primary practice location

5354 Reynolds St
Suite 510
Savannah, GA 31405-6007

Mailing address

5354 Reynolds St
Suite 510
Savannah, GA 31405-6007
Phone (912) 352-8588

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1017306Georgia Center for Reproductive Medicine5354 Reynolds Street, Suite 510, Savannah, GA 31405ComplianceFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

5354 Reynolds St
Ste 510
Savannah, GA 31405
Phone (912) 352-8588

Practitioners & affiliated clinicians

Practitioners 3

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700956984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST",
            "address_2": "SUITE 510",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056007",
            "telephone_number": "912-352-8588",
            "fax_number": "912-352-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST",
            "address_2": "SUITE 510",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056007",
            "telephone_number": "912-352-8588",
            "fax_number": "912-352-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA CENTER FOR REPRODUCTIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOHM",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "V.P",
        "authorized_official_telephone_number": "912-352-8588"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.