Organization Active NPI

Savannah Surgical Center PLLC

  • Surgery Physician
  • Savannah, TN
National Provider Identifier
1801977434
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD 40449 Issued in TN
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3734995MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.