Individual provider Active NPI

Jonathan Alexander Lanham, M.D.

  • Cardiovascular Disease Physician
  • Savannah, GA
National Provider Identifier
1225271745
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
76390 Issued in GA
Practice address
1326 Eisenhower Dr BLDG 2
Savannah, GA 31406-3928
Phone
(912) 527-5300
Fax
(912) 527-5154
NPI assigned
Apr 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24583 WV
Cardiovascular Disease Physician 207RC0000X D82285 MD
Cardiovascular Disease Physician 207RC0000X 24583 WV
Cardiovascular Disease Physician 207RC0000X 76390 GA Primary

Addresses

Primary practice location

1326 Eisenhower Dr BLDG 2
Savannah, GA 31406-3928

Mailing address

1326 Eisenhower Dr BLDG 2
Savannah, GA 31406-3928
Phone (912) 527-5300

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
I20190827003743 GA Practitioner - Cardiovascular Disease (Cardiology) 1355666850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJ SC Cardiology LLCGroup PAC ID 1052607371, 8 clinicians

Practice addresses (Care Compare)

1326 Eisenhower Dr
BLDG 2
Savannah, GA 31406-3928
Phone (912) 527-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24583WVMDInternal Medicine Physician
76390GAMDCardiovascular Disease Physician
D82285MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SJ SC Cardiology LLC Cardiovascular Disease CurrentSince Jul 1, 2019 Accepting new patients

Locations

105 E Tollison St
Baxley, GA 31513
Phone (912) 367-0044

455 S Main St
Ste 201
Hinesville, GA 31313
Phone (912) 877-6781

1000 Towne Center Blvd
Bldg 1200
Pooler, GA 31322
Phone (912) 748-2280

10055 Ford Ave
Ste 5A
Richmond Hill, GA 31324
Phone (912) 414-6563

89 Interchange Dr
Richmond Hill, GA 31324
Phone (912) 527-5301

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

5354 Reynolds St
Ste 505
Savannah, GA 31405
Phone (912) 352-1553

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

1326 Eisenhower Dr
Bldg 2
Savannah, GA 31406
Phone (912) 354-5543

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

16741 Highway 67
Ste A
Statesboro, GA 30458
Phone (912) 623-2391

Interoperability endpoints

  • Direct secure messaging: jonathanlanham@sjscllc.allscriptsdirect.net

Organizations & group practices 1

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 2

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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1225271745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR BLDG 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063928",
            "telephone_number": "912-527-5300",
            "fax_number": "912-527-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR BLDG 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063928",
            "telephone_number": "912-527-5300",
            "fax_number": "912-527-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANHAM",
        "first_name": "JONATHAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "24583",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D82285",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "24583",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "76390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.