SAVANNAH SURGERY CENTER, LLC (NPI# 1124401591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124401591 |
| Entity Type | Organization |
| Organization Name | SAVANNAH SURGERY CENTER, LLC |
| Practice Address |
5102 Paulsen St Bldg 2 Savannah GA 31405-4601 |
| Practice Telephone | 9123548331 |
| Practice Fax Number | 9123529782 |
| Mailing Telephone | 9123548331 |
| Mailing Fax Number | 9123529782 |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-03 |
| Authorized Official Name | NORMAN LEE YATES III (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9123548331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 050761 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | INDIVIDUAL NPI | 1538197355 | 01 |
| Street Address |
5102 PAULSEN ST BLDG 2 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732376 | Monica B Manocha | Pediatrics | 5102 Paulsen St, Building 3, Savannah, GA 31405-4601 | 2005-10-04 |
| 1124462403 | Matthew G Marshall | Psychiatry & Neurology | 5102 Paulsen St, Savannah, GA 31405 | 2013-04-17 |
| 1336463876 | Campen Dermatology, LLC | Dermatology | 5102 Paulsen St, Bldg. 4, Savannah, GA 31405-4601 | 2010-03-25 |
| 1336380658 | Campen Eye Care LLC | Ophthalmology | 5102 Paulsen St, Building 4, Savannah, GA 31405-4601 | 2009-03-17 |
| 1255459996 | Michele Elizabeth Reardon | Dietitian, Registered | 5102 Paulsen St, Savannah, GA 31405-4601 | 2007-03-27 |
| 1104956184 | Savannah Surgery Center, LLP | Specialist | 5102 Paulsen St, Building 2, Savannah, GA 31405-4601 | 2007-03-07 |
| 1558429332 | Savannah Pediatrics, P.C. | Pediatrics | 5102 Paulsen St, Savannah, GA 31405-4601 | 2006-12-05 |
| 1508924663 | Bernard M Portman | Pediatrics | 5102 Paulsen St, Savannah, GA 31405-4601 | 2006-12-04 |
| 1023086899 | Rebecca B Campen | Dermatology | 5102 Paulsen St, Bldg 4, Savannah, GA 31405-4601 | 2006-03-09 |
| 1528033347 | Susan B Daly | Pediatrics | 5102 Paulsen St, Bldg. 3, Savannah, GA 31405-4601 | 2006-02-23 |
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| 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 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386790129 | Derrick Brent Galapon | Surgery | 80 Enoch Blvd, Savannah, TN 38372-2231 | 2007-01-26 |
| 1861545790 | Javad Kenneth Tavassoli | Surgery | 4700 Waters Ave Rm 1300, Savannah, GA 31404-6220 | 2007-01-22 |
| 1922182534 | Richard Stephen Greene | Surgery | 910 Wayne Road, Savannah, TN 38372 | 2006-10-24 |
| 1801977434 | Savannah Surgical Center Pllc | Surgery | 255c Wayne Road, Savannah, TN 38372 | 2006-10-18 |
| 1619060415 | Ravindra K George | Surgery | 5354 Reynolds St Ste 202, Savannah, GA 31405-6009 | 2006-10-02 |
| 1346279965 | Charles Hendry Usher | Surgery | 5353 Reynolds St Ste 107, Savannah, GA 31405-6015 | 2006-07-03 |
| 1538197355 | Norman Lee Yates IIi | Surgery | 11909 Mcauley Drive, Suite 100 A2, Savannah, GA 31419 | 2006-06-29 |
| 1285662429 | Donald James Henley | Surgery | 1 Medical Arts Ctr, Savannah, GA 31405-4414 | 2006-06-28 |
| 1851335418 | Anne Teresa Saladyga | Surgery | 4700 Waters Ave Ste 405, Savannah, GA 31404-6220 | 2006-06-15 |
| 1306895073 | Howard A. Zaren | Surgery | 225 Candler Drive, Suite 301, Savannah, GA 31405 | 2006-05-09 |
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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.