ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC (NPI# 1821106923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821106923 |
| Entity Type | Organization |
| Organization Name | ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC |
| Practice Address |
519 Stephenson Ave Savannah GA 31405-5969 |
| Practice Telephone | 9123549447 |
| Practice Fax Number | 9123039246 |
| Mailing Telephone | 9123549447 |
| Mailing Fax Number | 9123039246 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2009-03-09 |
| Authorized Official Name | MRS. JUDY L GILLIAM (BILLING MANAGER) |
| Authorized Official Telephone | 9123549447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
86172S | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000969702A | 05 |
| Street Address |
519 STEPHENSON AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-5969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717985 | Branden S Hunter | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2005-08-11 |
| 1013446103 | Jordan Thomas Houston | Physician Assistant | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2017-06-12 |
| 1487921581 | Anesthesia of Coastal Georgia LLC | Nurse Anesthetist, Certified Registered | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2011-11-18 |
| 1831324896 | Kristen Nicole Vasquez | Physician Assistant | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2009-05-20 |
| 1386791234 | Ansley S Tharpe | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2007-01-04 |
| 1053486126 | Travis F. Wiggins | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2006-11-22 |
| 1013012145 | Gastroenterology Consultants of Savannah, PC | Specialist | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2006-09-13 |
| 1962404673 | Michael D Weinman | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2005-08-12 |
| 1255333142 | Gregory D Borak | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2005-08-11 |
| 1700888682 | David M Chalikian | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2005-08-11 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549676 | Chatham Orthopaedic Asc, LLC | Clinic/Center | 4425 Paulsen St Bldg B2nd, Savannah, GA 31405-3662 | 2018-02-22 |
| 1184976599 | Savannah Foot and Ankle Surgery Center LLC | Clinic/Center | 310 Eisenhower Dr Ste 7, Savannah, GA 31406-2632 | 2012-10-09 |
| 1679792931 | Georgette Backus Bragg | Clinic/Center | 101 Egret Pt, Savannah, GA 31405-8111 | 2007-04-25 |
| 1437242211 | Georgia Center for Digestive Diseases, LLC | Clinic/Center | 501 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-10-02 |
| 1730170564 | Savannah Partners, LLC | Clinic/Center | 13040 Abercorn Street, Suite 2, Savannah, GA 31419 | 2005-11-01 |
| 1508864463 | Savannah Outpatient Foot and Ankle Surgery Center, LLC | Clinic/Center | 310 Eisenhower Dr, Suite 7b, Savannah, GA 31406-2632 | 2005-07-13 |
| 1457892986 | Savannah Endoscopy Center, LLC | Clinic/Center | 1139 Lexington Ave, Suite B, Savannah, GA 31404-5502 | 2017-03-16 |
| 1851796908 | Savannah F&a Asc LLC | Clinic/Center | 310 Eisenhower Dr, Building 7, Savannah, GA 31406-2632 | 2014-10-31 |
| 1982044707 | Southeast Spine Center, LLC | Clinic/Center | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2013-06-25 |
| 1194068478 | South East Spone Care & Pain Mgmt | Clinic/Center | 7450 Skidaway Rd, Suite B, Savannah, GA 31406 | 2013-04-04 |
| Find all providers in SAVANNAH | ||||
Please comment or provide details below to improve the information on ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC.
| 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.