MEDICARE: SAVANNAH PAIN CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1639365240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVANNAH PAIN CENTER, LLC

Provider Business Mailing Address
First Line	:	455 PHILIP BLVD STE 140
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30046-8768
Country	:	US
Telephone Number	:	912-352-4340
Fax Number	:	912-352-4616

Provider Business Practice Location Address
First Line	:	8 WHEELER ST
Second Line	:	SUITE 200
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5710
Country	:	US
Telephone Number	:	912-352-4340
Fax Number	:	912-352-4616

Authorized Official
Title or Position	:	CEO
Name	:	DR. AMIT S PATEL
Credential	:	MD
Telephone Number	:	770-962-3642

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	02/05/2026

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