Active NPI
Savannah Surgical Center PLLC
- Surgery Physician
- Savannah, TN
National Provider Identifier
1801977434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD 40449
- Legal business name
- SAVANNAH SURGICAL CENTER PLLC
- Practice address
- 255C Wayne Road
Savannah, TN 38372 - Phone
- (731) 925-6662
- Fax
- (731) 925-9514
- NPI assigned
- Oct 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chadwick Parrish Smith, MD
- Title
- Ceo
- Phone
- (731) 925-6662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD 40449 | TN | Primary |
Addresses
Primary practice location
255C Wayne Road
Savannah, TN 38372
Mailing address
PO Box 58
Savannah, TN 38372
Phone (731) 925-6662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3734995 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
255 Wayne Rd
Ste C
Savannah, TN 38372
Phone (731) 925-6662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801977434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "38372",
"telephone_number": "731-925-6662",
"fax_number": "731-925-9514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255C WAYNE ROAD",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "38372",
"telephone_number": "731-925-6662",
"fax_number": "731-925-9514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVANNAH SURGICAL CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CHADWICK",
"authorized_official_middle_name": "PARRISH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "731-925-6662",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TN",
"license": "MD 40449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3734995",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, TN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.