TATTNALL HOSPITAL COMPANY, LLC (NPI# 1871846477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871846477 |
| Entity Type | Organization |
| Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
| Other Organization Name | COASTAL IMAGING |
| Practice Address |
503 Eisenhower Dr Savannah GA 31406 |
| Mailing Address |
460 Mall Blvd Ste B Savannah GA 31406 |
| Practice Telephone | 9123556255 |
| Practice Fax Number | 9123556256 |
| Mailing Telephone | 9126441626 |
| Mailing Fax Number | 9126443369 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | HOLLY ROLAND (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 9126447976 |
| Is Organization Subpart | Y |
| Parent Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Coastal Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
| 1285132415 | Tattnall Hospital Company, LLC | Family Medicine | 380a Cedar St, Metter, GA 30439 | 2018-01-23 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1093115123 | Tattnall Hospital Company, LLC | Neurological Surgery | 3345 Us Highway 84, Suite 100, Blackshear, GA 31516-2159 | 2014-08-26 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1720322464 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 38 S. Tallahassee Street, Suite B, Hazlehurst, GA 31539 | 2012-11-19 |
| 1013261312 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 8. North Williams Street, Metter, GA 30439 | 2012-11-08 |
| 1245501063 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 5918 Ogeechee Rd, Savannah, GA 31419-9527 | 2012-01-25 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1891009924 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 110 East Tollison Street, Baxley, GA 31513 | 2010-07-30 |
| Street Address |
503 EISENHOWER DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072317 | James Bennett Edwards | Radiology | 503 Eisenhower Dr, Savannah, GA 31406 | 2005-09-09 |
| 1669866778 | Optim Orthopedics, LLC | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2015-03-26 |
| 1154765600 | Jacob Michael Feldhaus | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2013-04-25 |
| 1114263456 | Coastal Imaging Solutions LLC | Clinic/Center | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2012-12-13 |
| 1154653152 | Ois Metropolitan Imaging LLC | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2010-02-02 |
| 1417177148 | Calvin Langston Toure Barnes | Radiology | 503 Eisenhower Dr, Savannah, GA 31406 | 2007-04-26 |
| 1013060904 | Janica Walden Peavey | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2007-01-22 |
| 1154421279 | Carl William Decker | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-09-25 |
| 1457398992 | Breast Imaging of Savannah | Clinic/Center | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-06-01 |
| 1073508735 | Kerri Lynn Baden | Radiology | 503 Eisenhower Dr, Savannah, GA 31406-2668 | 2005-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790912913 | Costal Diagnostic Solutions, LLC | Physiological Laboratory | 2 Hobcaw Ln, Savannah, GA 31411-2508 | 2009-06-15 |
| 1467401984 | Diagnostic Health Corporation | Physiological Laboratory | 6 Wheeler Ct, Savannah, GA 31405-5719 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285193 | Au Health Imaging, LLC | Physiological Laboratory | 3722 Wheeler Rd, Augusta, GA 30909-6638 | 2020-01-31 |
| 1417458233 | Procare Ultrasound | Physiological Laboratory | 4500 Satellite Blvd Ste 2190, Duluth, GA 30096-8850 | 2018-02-27 |
| 1831699222 | Hong Huong Thi Pham | Physiological Laboratory | 1710 Lake Lucerne Rd Sw, Lilburn, GA 30047-4534 | 2018-02-13 |
| 1225537483 | Fairpricemd Inc | Physiological Laboratory | 6175 Hickory Flat Hwy Ste 110-411, Canton, GA 30115-7207 | 2018-02-02 |
| 1861925075 | Nomadx Inc. | Physiological Laboratory | 4 E Washington St, Ste B2-b4, Newnan, GA 30263-1933 | 2017-04-05 |
| 1912375148 | Zywie Inc | Physiological Laboratory | 12000 Findley Rd, Suite 360, Johns Creek, GA 30097-1412 | 2015-09-03 |
| 1518347673 | Arterial Health International LLC | Physiological Laboratory | 3340 Peachtree Road, Ste 1800, Atlanta, GA 30326 | 2015-06-04 |
| 1669888657 | Avilys, LLC | Physiological Laboratory | 2300 Northside Xing, Ste B, Macon, GA 31210-2254 | 2014-07-10 |
| 1700210655 | Neba Health, LLC | Physiological Laboratory | 699 Broad St, Suite 1000, Augusta, GA 30901-1400 | 2013-08-28 |
| 1689919979 | Vocal Imaging, Inc. | Physiological Laboratory | 3006 Butler Creek Rd Nw, Kennesaw, GA 30152-3328 | 2012-11-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TATTNALL HOSPITAL COMPANY, 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.