Organization Active NPI

The Neurological Institute of Savannah & Center for Spine P C

  • Neurological Surgery Physician
  • Statesboro, GA
National Provider Identifier
1770149478
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
THE NEUROLOGICAL INSTITUTE OF SAVANNAH & CENTER FOR SPINE P C
Practice address
2A Ed Moore CT
Statesboro, GA 30458-5024
Phone
(912) 355-1010
Fax
(912) 351-0589
NPI assigned
May 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Carrie Bennett
Title
Coo
Phone
(912) 355-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

2A Ed Moore CT
Statesboro, GA 30458-5024

Mailing address

4 E Jackson Blvd
Savannah, GA 31405-5810
Phone (912) 355-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080718000382 GA Part B Supplier - Clinic/Group Practice 6800969254 Receives reassigned benefits from 29 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vidalia, GA; Statesboro, GA; Pooler, GA; Jesup, GA; Savannah, GA

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Neurolocial Inst of Sav5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1770149478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E JACKSON BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055810",
            "telephone_number": "912-355-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2A ED MOORE CT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585024",
            "telephone_number": "912-355-1010",
            "fax_number": "912-351-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROLOGICAL INSTITUTE OF SAVANNAH & CENTER FOR SPINE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "912-355-1010"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.