Organization Active NPI

Wilmington Health Center, Inc.

  • Pain Clinic/Center
  • Savannah, GA
National Provider Identifier
1760549265
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
031085 Issued in GA
Legal business name
WILMINGTON HEALTH CENTER, INC.
Practice address
37 W Fairmont Ave
Unit 317
Savannah, GA 31406-3455
Phone
(912) 925-8266
Fax
(912) 925-8264
NPI assigned
Jan 3, 2007
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. David Monroe Nelson, M.D.
Title
Owner
Phone
(912) 925-8266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 031085 GA Primary

Addresses

Primary practice location

37 W Fairmont Ave
Unit 317
Savannah, GA 31406-3455

Mailing address

37 W Fairmont Ave
Unit 317
Savannah, GA 31406-3455
Phone (912) 925-8266

Other identifiers 1

IdentifierTypeStateIssuer
000466573BMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1760549265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W FAIRMONT AVE",
            "address_2": "UNIT 317",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063455",
            "telephone_number": "912-925-8266",
            "fax_number": "912-925-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W FAIRMONT AVE",
            "address_2": "UNIT 317",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063455",
            "telephone_number": "912-925-8266",
            "fax_number": "912-925-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-925-8266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "GA",
            "license": "031085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000466573B",
            "state": "GA"
        }
    ],
    "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 5, 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.