THE NEUROLOGICAL INSTITUTE OF SAVANNAH & CENTER FOR SPINE P C (NPI# 1093740615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093740615 |
| Entity Type | Organization |
| Organization Name | THE NEUROLOGICAL INSTITUTE OF SAVANNAH & CENTER FOR SPINE P C |
| Practice Address |
4 E. Jackson Boulevard Savannah GA 31405-5895 |
| Practice Telephone | 9123551010 |
| Practice Fax Number | 9127213092 |
| Mailing Telephone | 9123551010 |
| Mailing Fax Number | 9123513641 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | ROBERT LEE MCCULLAR III (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9123551010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 822492391A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149478 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 2a Ed Moore Ct, Statesboro, GA 30458-5024 | 2019-05-17 |
| 1942727425 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 1805 Manning Dr, Vidalia, GA 30474-8921 | 2017-08-25 |
| 1902194764 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 1213 Merchants Way, Unit A, Statesboro, GA 30458 | 2011-07-14 |
| 1427358951 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 12b Arley Way Ste 103, Bluffton, SC 29910-8860 | 2010-11-01 |
| 1427405505 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 370 Peachtree St, Jesup, GA 31545-0244 | 2016-05-19 |
| 1689020877 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 101 W Mulberry Blvd, Suite 100, Savannah, GA 31407-3506 | 2016-05-06 |
| Street Address |
4 E. JACKSON BOULEVARD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-5895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568451607 | Louis G Horn Iv | Neurological Surgery | 4 E Jackson Blvd, Savannah, GA 31405-5810 | 2005-10-20 |
| 1659360600 | Randolph C Bishop | Neurological Surgery | 8880 Abercorn St, Savannah, GA 31406-4508 | 2005-10-20 |
| 1588661268 | Timothy Warren Phillips | Neurological Surgery | 210 E. Derenne Ave, Savannah, GA 31405 | 2005-07-07 |
| 1265089627 | Advanced Neurosurgical Solutions, LLC | Neurological Surgery | 8880 Abercorn St, Savannah, GA 31406-4508 | 2019-08-21 |
| 1689020877 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 101 W Mulberry Blvd, Suite 100, Savannah, GA 31407-3506 | 2016-05-06 |
| 1427294727 | Patrick Ryan Lingo | Neurological Surgery | 4 E Jackson Blvd, Savannah, GA 31405 | 2008-12-17 |
| 1467656728 | Davis L Reames | Neurological Surgery | 4 Jackson Blvd., Savannah, GA 31405 | 2007-06-12 |
| 1952520694 | Nicolas Flannery Arredondo | Neurological Surgery | 4 E Jackson Blvd, Savannah, GA 31405-5810 | 2007-04-24 |
| 1023123932 | Kevin Nageeb Ammar | Neurological Surgery | 4 E Jackson Blvd, Savannah, GA 31405-5810 | 2006-08-20 |
| 1205825338 | James G Lindley Jr. | Neurological Surgery | 4 E Jackson Blvd, Savannah, GA 31405-5810 | 2005-10-20 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.