NPIMap

Organization Active NPI

Department of Behavioral Health & Developmental Disabilities

Doing business as Georgial Regional Hospital at Savannah

  • Psychiatric Hospital
  • Savannah, GA
National Provider Identifier
1942432737
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
025-247 Issued in GA
Legal business name
DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES
Doing business as
Georgial Regional Hospital at Savannah
Practice address
1915 Eisenhower Dr
Savannah, GA 31406-5027
Phone
(912) 356-2011
NPI assigned
Aug 13, 2009
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Charles Li, M.D.
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

  • Georgial Regional Hospital at Savannah Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081110000363 GA Part A Provider - Hospital 2163320250 1 other NPI on this enrollment
Practice locations: Savannah, GA
O20090825000435 GA Part B Supplier - Clinic/Group Practice 7416002506 Receives reassigned benefits from 178 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Augusta, GA; Columbus, GA; Decatur, GA; Milledgeville, GA; Rome, GA; Savannah, GA; Thomasville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942432737. Details of each certification follow.

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 with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

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 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

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.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
East Central Regional HospitalAugusta, GA, CCN 114029 Hospital 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Jul 1, 2009
Jul 1, 2009

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1942432737",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "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",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": "025-247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgial Regional Hospital at Savannah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.