Recovery Medical Group LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RECOVERY MEDICAL GROUP LLC

Practice address

226 S Zetterower Ave
Statesboro, GA 30458-7135

Phone

(912) 266-9094

NPI assigned

Feb 12, 2019

Last updated

Apr 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Hall, MDNPI 1871657031

Title

Medical Director

Phone

(912) 927-6832

Specialties & licenses 4

Addresses

Locations

Practitioners 3

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.

• Michael Anthony Hall, MD

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1871657031
  NPD (past) Authorized official
• Jeshua Grach, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Savannah, GA
  • NPI 1740638337
  NPD (past)
• Kelly Ann Wagner, FNP-C, APRN

  • Family Nurse Practitioner
  • Savannah, GA
  • NPI 1659744316
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1962968222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304587135",
            "telephone_number": "912-266-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304587135",
            "telephone_number": "912-266-9094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10410 Abercorn St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191138",
            "country_code": "US",
            "telephone_number": "912-927-6832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 E Main St",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304612747",
            "country_code": "US",
            "telephone_number": "912-266-9094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVERY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "912-927-6832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Ray
• Karri O Ray, PA-C
• Shalonda Raymond
• Randy Gordon Read, PMHNP
• Rebecca Murray PH.D. LLC
• John Braxton Redding, CRNA
• Rani S. Reddy, M.D.
• Swaroop M Reddy, M.D.
• Jenecia Reed, LDO003136
• Refocus Counseling and Consulting Services

• Clinic/Center in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.