NPIMap

Organization Active NPI

Chatham Orthopaedic Associates, PA

Doing business as Chatham Sports Medicine

  • Specialist
  • Savannah, GA
National Provider Identifier
1710029137
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHATHAM ORTHOPAEDIC ASSOCIATES, PA
Doing business as
Chatham Sports Medicine
Practice address
4425A Paulsen Street
2ND Floor
Savannah, GA 31405-3637
Phone
(912) 354-5100
Fax
(912) 354-5300
NPI assigned
Feb 13, 2007
Last updated
Jul 16, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CHATHAM ORTHOPAEDIC ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Angela Greene
Title
Director of Admin Services
Phone
(912) 525-1281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4425A Paulsen Street
2ND Floor
Savannah, GA 31405-3637

Mailing address

4425A Paulsen Street
2ND Floor
Savannah, GA 31405-3637
Phone (912) 354-5100

Other names 1

  • CHATHAM SPORTS MEDICINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000864 GA Part B Supplier - Clinic/Group Practice 8022910306 Receives reassigned benefits from 56 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pooler, GA; Richmond Hill, GA; Savannah, GA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Chatham Orthopedic Assoc

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1710029137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425A PAULSEN STREET",
            "address_2": "2ND FLOOR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053637",
            "telephone_number": "912-354-5100",
            "fax_number": "912-354-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425A PAULSEN STREET",
            "address_2": "2ND FLOOR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053637",
            "telephone_number": "912-354-5100",
            "fax_number": "912-354-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM ORTHOPAEDIC ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHATHAM ORTHOPAEDIC ASSOCIATES, PA",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR OF ADMIN SERVICES",
        "authorized_official_telephone_number": "912-525-1281"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHATHAM SPORTS MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.