Pet Imaging Center of Savannah LLC

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

PET IMAGING CENTER OF SAVANNAH LLC

Doing business as

Trident PET of Savannah

Practice address

617 Stephenson Ave
Ste 101
Savannah, GA 31405-5838

Phone

(912) 355-7523

Fax

(912) 355-7526

NPI assigned

Sep 12, 2005

Last updated

Dec 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Guy A Messer

Title

Ceo

Phone

(770) 692-1387

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trident PET of Savannah Doing business as

Locations

Practitioners 2

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.

• Thomas Herbert Philbrick, M.D.

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1285628842

  Body Imaging

  NPD (past)
• Carlos A Rivera, M.D.

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1942294848

  Body Imaging

  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1750376208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "BROOKS",
            "state": "GA",
            "postal_code": "302050249",
            "telephone_number": "770-692-1387",
            "fax_number": "770-692-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 STEPHENSON AVE",
            "address_2": "STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055838",
            "telephone_number": "912-355-7523",
            "fax_number": "912-355-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PET IMAGING CENTER OF SAVANNAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "MESSER",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-692-1387"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "617511716B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trident  PET of Savannah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merry Lynn Perry, ARNP
• Sarah Perry, RBT
• Jasmine Perryman, RBT
• Suresh I Persad-Maharaj, MD
• Alfred E Pesto Jr., DMD
• Renny Valamparambil Peter, M.D
• Ellaree Yvette Peters
• Geoffrey Peters, M.D.
• Katherine A Petersen, M.D.
• Jakeshia Lynette Peterson

• Body Imaging Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Body Imaging Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.