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SAVANNAH OBGYN PC NPI 1467467845


NPI Information

NPI: 1467467845
Provider Name: SAVANNAH OBGYN PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D0264715

Address:
5356 REYNOLDS ST
SUITE 410
SAVANNAH, GA
ZIP 31405
Phone: (912) 355-8136
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SAVANNAH OBGYN PC is a specialist in Savannah, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SAVANNAH OBGYN PC NPI is 1467467845. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5356 REYNOLDS ST
SUITE 410
SAVANNAH, GA
ZIP 31405-016
Phone: (912) 355-8136
Fax: (912) 352-7014

The provider's authorized official is Alan Smith .
The authorized official title is Physician and has the following contact phone number (912) 355-8136.

The CLIA number assigned to this NPI record is 11D0264715 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/31/2006 and was last updated on 10/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist036294GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E42592MEDICARE UPINGEORGIA
200598001CMEDICAIDGEORGIA
300738955AMEDICAIDGEORGIA
4G36294MEDICARE UPINGEORGIA
516BBCCRMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
616BDFDMMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
7R99017MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.