SAVANNAH NEUROLOGY SPECIALISTS P C
NPI 1629203294
Psychiatry & Neurology - Neurology in Savannah, GA

Active since May 26, 2009CLIA 11D2097272 · Waiver
6602 WATERS AVE, BUILDING C, SAVANNAH, GA 31406(912) 354-7676(912) 354-6040 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Savannah Neurology Specialists P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAVANNAH NEUROLOGY SPECIALISTS P C (NPI 1629203294) is a healthcare organization registered as a neurology in Savannah, Georgia and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Joanne S Johansen, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1629203294
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSAVANNAH NEUROLOGY SPECIALISTS P C
Location Address6602 WATERS AVE, BUILDING CSavannah, GA 31406-2716
Mailing Address6602 Waters Ave, Building CSavannah, GA 31406-2716 · (912) 354-7676 · Fax (912) 354-6040
Fax(912) 354-6040
Organization SubpartNo
Authorized OfficialJoanne S JohansenC.o.o. · (912) 354-7676
Enumeration DateMay 26, 2009
Last NPPES UpdateMarch 8, 2013
✔ NPI 1629203294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in GA · 028560
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
6602 WATERS AVE, Savannah, GA 31406

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savannah Neurology Specialists P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20091016000328Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Savannah Neurology Specialists P C, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 17 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner10
Neurology7
Clinical Psychologist1

Clinicians, nearest first (18)

Neurology
NPI 1285672329
6602 WATERS AVE BUILDING C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1922201912
6602 WATERS AVE BUILDING C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1619191103
6602 WATERS AVE BUILDING C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679956056
6602 WATERS AVE BLDG C
Savannah, GA 31406
(912) 354-7676
✔ PECOSSame address
Nurse Practitioner
NPI 1003513144
6602 WATERS AVE
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1730475740
6602 WATERS AVE BLDG C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1134239049
6602 WATERS AVE BLDG C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1881375723
6602 WATERS AVE BLDG C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1992773287
6602 WATERS AVE BLDG C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1255014882
6602 WATERS AVE BLDG C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1295272714
6602 WATERS AVE BLDG C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1164746624
6602 WATERS AVE BLDG C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1679801534
6602 WATERS AVE BLDG C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1023285319
6602 WATERS AVE BLDG C
Savannah, GA 31406
(912) 354-7676
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1669580262
6602 WATERS AVE BLDG C
Savannah, GA 31406
(912) 354-7676
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1659915924
4750 WATERS AVE STE 202
Savannah, GA 31404
(912) 350-7412
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1609376359
4A SKIDAWAY VILLAGE WALK
Savannah, GA 31441
(912) 598-2793
✔ PECOS4.2 mi
Clinical Psychologist
NPI 1215026067
840 PINE ST SUITE 880
Macon, GA 31201
(478) 743-7093
✔ PECOS159 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2097272

Savannah Neurology Specialists, PC · Savannah, GA
Active · expires Jun 10, 2027
CLIA Number11D2097272
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorRobert G. Macgregor
Laboratory Phone(912) 354-7676
Laboratory LocationSavannah Neurology Specialists, PC6602 Waters Avenue, Bldg C, Savannah, GA 31406
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Savannah Neurology Specialists P C's NPI number?

The NPI number for Savannah Neurology Specialists P C is 1629203294. It was assigned to this organization in the NPPES registry on May 26, 2009.

Where is Savannah Neurology Specialists P C located?

Savannah Neurology Specialists P C is located at 6602 Waters Ave Building C, Savannah, GA 31406. The listed phone number is (912) 354-7676.

What is Savannah Neurology Specialists P C's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Savannah Neurology Specialists P C enrolled in Medicare?

Yes. Savannah Neurology Specialists P C is registered in the Medicare PECOS enrollment system.

When is Savannah Neurology Specialists P C's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Savannah Neurology Specialists P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Savannah Neurology Specialists P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Neurology (7) and Clinical Psychologist (1). Of these, 4 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Savannah Neurology Specialists P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2097272) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Savannah Neurology Specialists P C accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Savannah Neurology Specialists P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Savannah Neurology Specialists P C was last updated on March 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.