Active NPI
The Plastic Surgery Center Land, LLC
- Ambulatory Surgical Clinic/Center
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- THE PLASTIC SURGERY CENTER LAND, LLC
- Practice address
- 5361 Reynolds St
Savannah, GA 31405-6014 - Phone
- (912) 355-8000
- Fax
- (912) 355-8403
- NPI assigned
- Jul 20, 2005
- Last updated
- Jun 8, 2011
- 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
- Richard J Greco, MD
- Title
- Ceo
- Phone
- (912) 355-8000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
5361 Reynolds St
Savannah, GA 31405-6014
Mailing address
5361 Reynolds St
Savannah, GA 31405-6014
Phone (912) 355-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111213000078 | GA | Part B Supplier - Ambulatory Surgical Center | 9133394653 | Practice locations: Savannah, GA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- The Plastic Surgery Center Land LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0956832 | Plastic Surgery Center Land LLC, the | Certificate of waiver | Feb 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
5361 Reynolds St
Savannah, GA 31405
Phone (912) 355-8000
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Plastic Surgery Physician
- Savannah, GA
- NPI 1366441321
-
- Certified Registered Nurse Anesthetist
- Savannah, GA
- NPI 1235679812
-
- Plastic and Reconstructive Surgery Physician
- Savannah, GA
- NPI 1073512158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307491200000",
"number": "1861491987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5361 REYNOLDS ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056014",
"telephone_number": "912-355-8000",
"fax_number": "912-355-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5361 REYNOLDS ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056014",
"telephone_number": "912-355-8000",
"fax_number": "912-355-8403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PLASTIC SURGERY CENTER LAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-20",
"last_updated": "2011-06-08",
"status": "A",
"authorized_official_last_name": "GRECO",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "912-355-8000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- The Matthew Reardon Center Inc.
- The Neurological Institute of Savannah & Center for Spine P C
- The Oaks Therapy LLC
- The Optical Shop
- The Orthopedic Surgery Center
- The Reed House
- The Resilience Group
- The Urgent Care Center of Richmond Hill, LLC (Expercare)
- The Urgent Care Center of Richmond Hill, LLC (ExperCARE)
- The Young Men's Christian Association of Coastal Georgia Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.