Individual provider Active NPI

Grant Carlton Lewis, M.D.

  • Hematology & Oncology Physician
  • Savannah, GA
National Provider Identifier
1215009287
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
057719 Issued in GA
Practice address
225 Candler Dr
Suite 300
Savannah, GA 31405-6023
Phone
(912) 354-6187
Fax
(912) 355-0596
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 31546 SC
Hematology & Oncology Physician 207RH0003X 057719 GA Primary

Addresses

Primary practice location

225 Candler Dr
Suite 300
Savannah, GA 31405-6023

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
513511389CMedicaidGA
513511389DMedicaidGA
513511389BMedicaidGA
315466MedicaidSC

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
I20070627000208 GA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1456301100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Mercer University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

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

225 Candler Dr
Suite 300
Savannah, GA 31405-6091
Phone (912) 354-6187

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057719GAMDHematology & Oncology Physician
31456SCMDPsychiatric/Mental Health Nurse Practitioner
31546SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Effingham Physician Practices, LLC Hematology & Oncology CurrentSince Sep 1, 2016 Accepting new patients
Candler Medical Oncology Practice, LLC Hematology & Oncology CurrentSince Dec 1, 2014 Accepting new patients
Candler Medical Oncology Practice, LLC Hematology & Oncology CurrentSince Dec 1, 2014 Accepting new patients
SJC Oncology Services - Georgia, LLC Past Accepting new patients

Locations

225 Candler Dr
Ste 300
Savannah, GA 31405

5400 Sutlive St
Savannah, GA 31405
Phone (912) 201-3825

459 Highway 119 S
Ste B
Springfield, GA 31329
Phone (912) 754-2560

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

1497 Fair Rd
Ste 311
Statesboro, GA 30458
Phone (340) 643-2227

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: glewis@summitcancercare.direct.varian.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/candler-47b034e8

Organizations & group practices 4

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 4

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1215009287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 SUTLIVE ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054721",
            "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",
            "address_2": "SUITE 300",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056023",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GRANT",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "31546",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "057719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513511389C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513511389D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513511389B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315466",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.