Organization Active NPI

Spine Center Savannah, LLC

  • Occupational Medicine Physician
  • Atlanta, GA
National Provider Identifier
1902357601
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
SPINE CENTER SAVANNAH, LLC
Practice address
3161 Howell Mill Rd NW
Suite 400
Atlanta, GA 30327-2135
Phone
(404) 351-5812
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Tim Marlow
Title
Ceo
Phone
(404) 351-5812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

3161 Howell Mill Rd NW
Suite 400
Atlanta, GA 30327-2135

Mailing address

310 Eisenhower Dr
Savannah, GA 31406-2632
Phone (912) 417-3050

National Provider Directory

National Provider Directory
Tax ID family
Spine Center Savannah LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3161 Howell Mill Rd NW
Ste 400
Atlanta, GA 30327
Phone (404) 351-5812

310 Eisenhower Dr
Savannah, GA 31406
Phone (513) 505-3392

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1902357601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062632",
            "telephone_number": "912-417-3050",
            "fax_number": "912-330-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 HOWELL MILL RD NW",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272135",
            "telephone_number": "404-351-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CENTER SAVANNAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "MARLOW",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-351-5812"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.