Organization Active NPI

Savannah Medical Center PC

  • General Practice Physician
  • Savannah, TN
National Provider Identifier
1932376324
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD08334 Issued in TN
Legal business name
SAVANNAH MEDICAL CENTER PC
Practice address
255 Wayne Rd
Suite B
Savannah, TN 38372-1947
Phone
(731) 925-8016
Fax
(731) 925-9514
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Michael Lewis Smith, MD
Title
President
Phone
(731) 925-8016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD08334 TN Primary

Addresses

Primary practice location

255 Wayne Rd
Suite B
Savannah, TN 38372-1947

Mailing address

255 Wayne Rd
Suite B
Savannah, TN 38372-1947
Phone (731) 925-8016

Other identifiers 1

IdentifierTypeStateIssuer
3848294MedicaidTN

National Provider Directory

National Provider Directory

Locations

255 Wayne Rd
Ste B
Savannah, TN 38372
Phone (731) 925-8016

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1932376324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WAYNE RD",
            "address_2": "SUITE B",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383721947",
            "telephone_number": "731-925-8016",
            "fax_number": "731-925-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 WAYNE RD",
            "address_2": "SUITE B",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383721947",
            "telephone_number": "731-925-8016",
            "fax_number": "731-925-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-925-8016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD08334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3848294",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.