MEADOWS REGIONAL MEDICAL CENTER (NPI# 1164779104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164779104 |
| Entity Type | Organization |
| Organization Name | MEADOWS REGIONAL MEDICAL CENTER |
| Other Organization Name | MEADOWS DIAGNOSTIC CENTER OF SAVANNAH |
| Practice Address |
11700 Mercy Blvd Plaza D Suite B Savannah GA 31419-1798 |
| Mailing Address |
1 Meadows Pkwy Vidalia GA 30474-8759 |
| Practice Telephone | 9129618642 |
| Mailing Telephone | 9125385826 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2013-02-14 |
| Authorized Official Name | MR. JOHN R CORNELL (CFO - VP OF FINANCE) |
| Authorized Official Telephone | 9125375826 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEADOWS REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
GA977-1 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MEADOWS DIAGNOSTIC CENTER OF SAVANNAH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972729580 | Meadows Regional Medical Center | Clinic/Center | 201 W. Sutton St., Mount Vernon, GA 30445 | 2007-04-18 |
| 1912021684 | Meadows Regional Medical Center | General Acute Care Hospital | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-03-19 |
| 1184697245 | Meadows Regional Medical Center | Specialist/Technologist | 101 Harris Industrial Blvd, Vidalia, GA 30474-8845 | 2006-02-09 |
| Street Address |
11700 MERCY BLVD PLAZA D SUITE B |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218964 | American Health Imaging of Georgia LLC | Clinic/Center | 30 Janet Dr, Savannah, GA 31405-5518 | 2020-06-03 |
| 1568962967 | Ortho Sport & Spine Physicians Savannah | Clinic/Center | 11700 Mercy Blvd, Savannah, GA 31419-1753 | 2018-02-13 |
| 1114263456 | Coastal Imaging Solutions LLC | Clinic/Center | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2012-12-13 |
| 1700085875 | Venous Access Services | Clinic/Center | 1 Johnston St, Unit 6, Savannah, GA 31405-5531 | 2007-07-17 |
| 1033154489 | Radiology Associates of Savannah, PC | Clinic/Center | 1934 E Montgomery Xrd, Savannah, GA 31406-5037 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101701 | Clear Imaging LLC | Clinic/Center | 5730 Glenridge Dr Ste T300, Sandy Springs, GA 30328-5871 | 2020-07-07 |
| 1952948291 | Catching Point Physician Centers, LLC | Clinic/Center | 3333 Old Milton Pkwy Ste G100, Alpharetta, GA 30005-0008 | 2019-12-05 |
| 1447802780 | American Health Imaging of Ga LLC | Clinic/Center | 2851 Washington Rd, Augusta, GA 30909-2131 | 2019-07-16 |
| 1700445582 | American Health Imaging of Ga LLC | Clinic/Center | 4374 Atlanta Hwy Ste 125, Hiram, GA 30141-1852 | 2019-06-06 |
| 1508425380 | American Health Imaging of Ga LLC | Clinic/Center | 796 Church St Ne Ste 100, Marietta, GA 30060-7228 | 2019-06-06 |
| 1588229918 | Synergy Radiology, LLC | Clinic/Center | 6025 Professional Pkwy Ste 104, Douglasville, GA 30134-5610 | 2019-05-01 |
| 1134645351 | M & B Imaging, PC | Clinic/Center | 2485 Jefferson Rd, Athens, GA 30607-1202 | 2017-08-18 |
| 1548785330 | American Health Imaging of Georgia LLC | Clinic/Center | 1103 Fountain Lake Dr, Brunswick, GA 31525-3039 | 2017-08-14 |
| 1164966461 | Pro Radiology, LLC | Clinic/Center | 60 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 | 2016-12-06 |
| 1861848137 | T. Bibbs Hair Restoration & Healthcare | Clinic/Center | 1226 Royal Dr Sw Ste B, Conyers, GA 30094-5926 | 2016-05-05 |
| Find all providers with the same taxonomy | ||||
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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.