NPIMap

Organization Active NPI

Georgia Department of Human Resources

  • Psychiatric Hospital
  • Savannah, GA
National Provider Identifier
1851355481
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
025-247 Issued in GA
Legal business name
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Practice address
1915 Eisenhower Dr
Savannah, GA 31406-5027
Phone
(912) 356-2011
Fax
(912) 351-3538
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Charles Li
Title
Rha
Phone
(912) 356-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 025-247 GA Primary

Addresses

Primary practice location

1915 Eisenhower Dr
Savannah, GA 31406-5027

Mailing address

1915 Eisenhower Dr
Savannah, GA 31406-5027
Phone (912) 356-2011

Other names 1

  • Georgia Regional Hospital Savannah Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081110000363 GA Part A Provider - Hospital 2163320250 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Savannah, GA

Hospital certification: CCN 114028

Legal name
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Doing business as
GEORGIA REGIONAL HOSPITAL AT SAVANNAH
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jun 24, 1987
Last certification
Mar 19, 2025
Beds
202 (112 certified)
Ownership / control type
State
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 2009 in GA
Enrollment address
1915 Eisenhower Dr
Savannah, GA 31406-5027
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Georgia Regional Hosp SavannahCCN 114028
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Roosevelt Warm SGP Inst74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mary Jones Individual 5% Or Greater Indirect Ownership InterestRegional Hospital Administrator Jan 1, 2024 100%
Corporate DirectorRegional Hospital Administrator Jan 1, 2024 100%
Department of Behavioral Health and Developmental Disabilities Organization, Savannah, GA 5% Or Greater Direct Ownership Interest Jul 1, 2009 100%
Mary Versaw Individual Corporate OfficerCfo Jan 1, 2024
W-2 Managing EmployeeCfo Jan 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1851355481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314065027",
            "telephone_number": "912-356-2011",
            "fax_number": "912-351-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314065027",
            "telephone_number": "912-356-2011",
            "fax_number": "912-351-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DEPARTMENT OF HUMAN RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "RHA",
        "authorized_official_telephone_number": "912-356-2011"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": "025-247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Regional Hospital Savannah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.