Center for Wellness and Preventative Medicine

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

055437 Issued in GA

Legal business name

CENTER FOR WELLNESS AND PREVENTATIVE MEDICINE

Practice address

3 Johnston Street
Suite a
Savannah, GA 31405

Phone

(912) 352-1234

Fax

(912) 352-0492

NPI assigned

Apr 20, 2010

Organization subpart

No

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

Authorized official

Name

Stephen H. Ross

Title

Practice Manager

Phone

(912) 352-1234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1891011516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JOHNSTON STREET",
            "address_2": "SUITE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-352-1234",
            "fax_number": "912-352-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JOHNSTON STREET",
            "address_2": "SUITE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-352-1234",
            "fax_number": "912-352-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WELLNESS AND PREVENTATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "912-352-1234"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "055437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Savannah, GA
• Providers in Savannah, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.