TB Thunderbolt LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TB THUNDERBOLT LLC

Practice address

3223 Falligant Ave
Savannah, GA 31404-5339

Phone

(912) 691-2512

Fax

(912) 353-9354

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

David Lemcke

Title

Member

Phone

(678) 808-4071

Specialties & licenses 1

Addresses

Other names 1

• Thunderbolt Health and Rehab Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Todd Peacock, M.D.

  • Internal Medicine Physician
  • Eastman, GA
  • NPI 1487636742
  NPD (past)

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1811608102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 FALLIGANT AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045339",
            "telephone_number": "912-691-2512",
            "fax_number": "912-353-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 FALLIGANT AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045339",
            "telephone_number": "912-691-2512",
            "fax_number": "912-353-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TB THUNDERBOLT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "LEMCKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "678-808-4071"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thunderbolt Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica A. Taylor, NP
• Joshua Taylor
• Mark A. Taylor, M.D.
• Sarah Taylor, DVM
• Tiffany D Taylor, M.ED.
• Julie Goodwin Teague
• Erin Tello, CADC-I
• Meryssah Lorraine Tenewitz, MD
• Kensi L Tenhouse, PT, DPT
• Roikiesha Tennant

• Skilled Nursing Facility in Savannah, GA
• Providers in Savannah, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.