Individual provider Active NPI

Jose M Rendon-Garcia, MD

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1083650972
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37655 Issued in GA
Practice address
11909D McAuley Dr
Savannah, GA 31419-1709
Phone
(912) 927-0785
Fax
(912) 927-6572
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37655 GA Primary

Addresses

Primary practice location

11909D McAuley Dr
Savannah, GA 31419-1709

Mailing address

11909D McAuley Drive
Savannah, GA 31419-1709
Phone (912) 927-0785

Other identifiers 1

IdentifierTypeStateIssuer
000624709EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100215000331 GA Practitioner - Internal Medicine 1557405578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJC Medical Group IncGroup PAC ID 7719978105, 57 clinicians

Practice addresses (Care Compare)

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-4949

11909 McAuley Dr
Suite D
Savannah, GA 31419-1794
Phone (912) 927-0785

423 S Columbia Ave
Rincon, GA 31326-9080
Phone (912) 826-8860

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Savannah, GA, CCN 117078
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Candler Hospital Hospital, Savannah, GA, CCN 110024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37655GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SJC Medical Group Inc Internal Medicine CurrentSince Jun 24, 2013 Accepting new patients
Candler Medical Group, Inc. - Rendon Internal Medicine Past Accepting new patients

Locations

11909 McAuley Dr
Ste D
Savannah, GA 31419
Phone (912) 927-0785

602 E 72nd St
Savannah, GA 31405
Phone (912) 819-7800

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

410 Mall Blvd
Ste E
Savannah, GA 31406
Phone (912) 352-7194

Interoperability endpoints

  • Direct secure messaging: jose.rendongarcia@sjcmg.eclinicaldirectplus.com
  • Direct secure messaging: drend@direct.sjchs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1083650972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11909D MCAULEY DRIVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191709",
            "telephone_number": "912-927-0785",
            "fax_number": "912-927-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909D MCAULEY DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191709",
            "telephone_number": "912-927-0785",
            "fax_number": "912-927-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDON-GARCIA",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "37655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000624709E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.