Organization Active NPI

Savannah Pelvic Reconstructive Surgery Center

Doing business as Urogyn Savannah

  • Specialist
  • Savannah, GA
National Provider Identifier
1952454167
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
041008 Issued in GA
Legal business name
SAVANNAH PELVIC RECONSTRUCTIVE SURGERY CENTER
Doing business as
Urogyn Savannah
Practice address
5356 Reynolds St
Ste 301
Savannah, GA 31405-6016
Phone
(912) 303-0891
Fax
(912) 303-0893
NPI assigned
Jan 19, 2007
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Mrs. Rita Nico Murphy
Title
Office Manager
Phone
(912) 232-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 041008 GA Primary

Addresses

Primary practice location

5356 Reynolds St
Ste 301
Savannah, GA 31405-6016

Mailing address

PO Box 23028
Savannah, GA 31403-3028
Phone (912) 303-0891

Other names 1

  • UROGYN SAVANNAH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819000821 GA Part B Supplier - Clinic/Group Practice 7517930282 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1027201Savannah Pelvic Reconstructive Surgery5356 Reynolds Street, Savannah, GA 31405Provider-performed microscopyJun 23, 2028

National Provider Directory

National Provider Directory

Locations

5356 Reynolds St
Ste 301
Savannah, GA 31405
Phone (912) 303-0891

720 E 71st St
Savannah, GA 31405
Phone (912) 303-0891

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1952454167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23028",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314033028",
            "telephone_number": "912-303-0891",
            "fax_number": "912-303-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST",
            "address_2": "STE 301",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056016",
            "telephone_number": "912-303-0891",
            "fax_number": "912-303-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH PELVIC RECONSTRUCTIVE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "NICO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-232-9700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "041008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UROGYN SAVANNAH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.

Verify at the official NPI Registry.