NPIMap

Organization Active NPI

Candler Medical Oncology Practice, LLC

  • Hematology & Oncology Physician
  • Savannah, GA
National Provider Identifier
1003217712
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CANDLER MEDICAL ONCOLOGY PRACTICE, LLC
Practice address
225 Candler Dr Ste 300
Savannah, GA 31405-6091
Phone
(912) 354-6187
NPI assigned
Sep 12, 2014
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CANDLER HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Hinchey
Title
Ceo
Phone
(912) 651-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X GA Primary

Addresses

Primary practice location

225 Candler Dr Ste 300
Savannah, GA 31405-6091

Mailing address

836 E 65TH St Ste 4
Savannah, GA 31405-4491
Phone (912) 354-6187

Other practice location 1

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 354-6187

Other practice location 2

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 354-6187

Other practice location 3

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 354-6187

Other practice location 4

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 354-6187

Other practice location 5

159 W Railroad St, Bldg B
Pembroke, GA 31321
Phone (912) 354-6187

Other practice location 6

1497 Fair Rd Ste 311
Statesboro, GA 30458-0828
Phone (912) 354-6187

Other practice location 7

100 Buckwalter Place Blvd Ste 120
Bluffton, SC 29910-5154
Phone (843) 836-7120

Other practice location 8

5400 Sutlive St
Savannah, GA 31405-4721
Phone (912) 354-6187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150211000522 GA Part B Supplier - Clinic/Group Practice 2860717089 Receives reassigned benefits from 32 practitioners
Practice locations: Savannah, GA; Statesboro, GA; Pembroke, GA
O20191105003046 SC Part B Supplier - Clinic/Group Practice 2860717089 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bluffton, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0974721Candler Medical Oncology Practice1497 Fair Road Suite 311, Statesboro, GA 30458AccreditationFeb 6, 2028
11D2244841Candler Medical Oncology Practice - Pembroke159 W Railroad Street, Building B, Pembroke, GA 31321AccreditationSep 20, 2026

National Provider Directory

National Provider Directory
Part of
Candler Hospital Inc

Locations

8 Okatie Center Blvd S
Ste 201
Okatie, SC 29909
Phone (843) 705-4848

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/candler-47b034e8

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1003217712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E 65TH ST STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054491",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CANDLER DR STE 300",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056091",
            "telephone_number": "912-354-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1499 Fair Rd",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304581683",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11705 Mercy Blvd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191711",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5353 Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056015",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 W Railroad St, Bldg B",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "GA",
            "postal_code": "31321",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 Fair Rd Ste 311",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580828",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Buckwalter Place Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299105154",
            "country_code": "US",
            "telephone_number": "843-836-7120",
            "fax_number": "843-815-8014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Sutlive St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314054721",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-9807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANDLER MEDICAL ONCOLOGY PRACTICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANDLER HOSPITAL, INC",
        "enumeration_date": "2014-09-12",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "HINCHEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-651-5766"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.