Individual provider Active NPI

Stephen Tiley, D.O.

  • Hematology & Oncology Physician
  • Savannah, GA
National Provider Identifier
1245425966
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
069988 Issued in GA
Practice address
4700 Waters Ave Ste 201
Savannah, GA 31404-6220
Phone
(912) 692-2000
Fax
(912) 692-2100
NPI assigned
Sep 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 83373 SC
Hematology & Oncology Physician 207RH0003X 069988 GA Primary

Addresses

Primary practice location

4700 Waters Ave Ste 201
Savannah, GA 31404-6220

Mailing address

PO Box 749495
Atlanta, GA 30374-9495

Other identifiers 1

IdentifierTypeStateIssuer
833735MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130730000218 GA Practitioner - Hematology/Oncology 3375784671 Reassigns benefits to 1 organization
I20201113001302 SC Practitioner - Hematology/Oncology 3375784671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

16 Okatie Ctr Blvd S
Suite 2 201
Okatie, SC 29909-7533
Phone (912) 692-2000

4700 Waters Ave
Suite 201
Savannah, GA 31404-6220
Phone (912) 692-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
069988GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Nov 1, 2020 Accepting new patients
Beaufort County Memorial Hospital Current Accepting new patients
American Oncology Partners PA Hematology & Oncology CurrentSince Aug 5, 2024 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Nov 1, 2020 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Nov 1, 2020 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

1111 Glynco Pkwy
Ste 35
Brunswick, GA 31525
Phone (912) 304-7013

1000 Towne Center Blvd
Ste 704
Pooler, GA 31322
Phone (912) 692-2000

4700 Waters Ave
Ste 201
Savannah, GA 31404
Phone (912) 692-2000

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

989 Ribaut Rd
Ste 310
Beaufort, SC 29902
Phone (843) 522-7350

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

955 Ribaut Rd
#C
Beaufort, SC 29902

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

16 Okatie Center Blvd S
Ste 2201
Okatie, SC 29909
Phone (912) 692-2000

122 Okatie Center Blvd N
Ste 110
Okatie, SC 29909
Phone (843) 522-7350

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Interoperability endpoints

  • Direct secure messaging: stephen.tiley@mrmc.gadirect.net

Organizations & group practices 6

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

Hospital & facility affiliations 6

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1245425966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE STE 201",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-692-2000",
            "fax_number": "912-692-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILEY",
        "first_name": "STEPHEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "83373",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "069988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "833735",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.