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SOUTHEAST SPINE CENTER, LLC
NPI 1982044707
Clinic/Center - Ambulatory Surgical in Savannah, GA

Active since June 25, 2013
7450 SKIDAWAY RD, SAVANNAH, GA 31406(912) 233-6811(912) 544-0864 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southeast Spine Center, Llc NPPES

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

SOUTHEAST SPINE CENTER, LLC (NPI 1982044707) is a healthcare organization registered as an ambulatory surgical in Savannah, Georgia and active in the NPI registry since June 2013. The organization lists Ortelio Bosch, Owner, as its authorized official.

NPPES Registry Identity

NPI1982044707
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHEAST SPINE CENTER, LLC
Location Address7450 SKIDAWAY RDSavannah, GA 31406-6446
Mailing Address7450 Skidaway RdSavannah, GA 31406-6446 · (912) 233-6811 · Fax (912) 544-0864
Phone(912) 233-6811
Fax(912) 544-0864
Organization SubpartNo
Authorized OfficialOrtelio BoschOwner · (912) 233-6811
Enumeration DateJune 25, 2013
✔ NPI 1982044707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in GA · 051119
7450 SKIDAWAY RD, Savannah, GA 31406
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Spine Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Spine Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Russell Daniel, M.D.
Pain Management
NPI 1376540260
440 SOCIETY HILL DR STE 202
Aiken, SC 29803
(803) 226-0102
✔ PECOS✔ Accepts Medicare111 mi

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
35 services25 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
32 services20 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
20 services12 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
18 services13 patients

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 Southeast Spine Center, LLC's NPI number?

The NPI number for Southeast Spine Center, LLC is 1982044707. It was assigned to this organization in the NPPES registry on June 25, 2013.

Where is Southeast Spine Center, LLC located?

Southeast Spine Center, LLC is located at 7450 Skidaway Rd, Savannah, GA 31406. The listed phone number is (912) 233-6811.

What is Southeast Spine Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Southeast Spine Center, LLC enrolled in Medicare?

Yes. Southeast Spine Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Spine Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Southeast Spine Center, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeast Spine Center, LLC was last updated on June 25, 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.