NPIMap

Organization Active NPI

SJ SC Cardiology LLC

  • Cardiovascular Disease Physician
  • Savannah, GA
National Provider Identifier
1245694496
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
060679 Issued in GA
Legal business name
SJ SC CARDIOLOGY LLC
Practice address
1326 Eisenhower Dr
BLDG 2
Savannah, GA 31406-3928
Phone
(912) 527-5300
Fax
(912) 527-5154
NPI assigned
Apr 13, 2016
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. JOSEPH'S HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Angela Grant
Title
Network Credentialing Coordinator
Phone
(912) 819-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 060679 GA Primary

Addresses

Primary practice location

1326 Eisenhower Dr
BLDG 2
Savannah, GA 31406-3928

Mailing address

836 E 65TH St Ste 22
Savannah, GA 31405-4493
Phone (912) 819-2622

Other practice location 1

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 527-5300

Other practice location 2

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 527-5300

Other practice location 3

105 E Tollison St Ste A
Baxley, GA 31513-0150
Phone (912) 527-5300

Other practice location 4

10055 Ford Ave Ste 5A
Richmond Hill, GA 31324-3974
Phone (912) 527-5300

Other practice location 5

1000 Towne Center Blvd Ste 305
Pooler, GA 31322-4068
Phone (912) 527-5300

Other practice location 6

310 Eisenhower Dr Ste 16
Savannah, GA 31406-2632
Phone (912) 527-5300

Other practice location 7

5354 Reynolds St Ste 505
Savannah, GA 31405-6012
Phone (912) 527-5300

Other practice location 8

89 Interchange Dr
Richmond Hill, GA 31324-7661
Phone (912) 527-5300

Other practice location 9

455 S Main St Ste 201
Hinesville, GA 31313-4354
Phone (912) 527-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160912002197 GA Part B Supplier - Clinic/Group Practice 1052607371 Receives reassigned benefits from 13 practitioners
Practice locations: Baxley, GA; Hinesville, GA; Pooler, GA; Richmond Hill, GA; Savannah, GA

National Provider Directory

National Provider Directory
Part of
St Josephs Hospital Neu

Locations

105 E Tollison St
Ste A
Baxley, GA 31513

1000 Towne Center Blvd
Ste 302
Pooler, GA 31322

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

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

Interoperability endpoints

  • Direct secure messaging: akinniranabisogun@sjscllc.allscriptsdirect.net
  • Direct secure messaging: danielosimani@sjscllc.allscriptsdirect.net
  • Direct secure messaging: geoffreypeters@sjscllc.allscriptsdirect.net
  • Direct secure messaging: jonathanlanham@sjscllc.allscriptsdirect.net
  • Direct secure messaging: royflood@sjscllc.allscriptsdirect.net
  • Direct secure messaging: sidneybolch@sjscllc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1245694496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E 65TH ST STE 22",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054493",
            "telephone_number": "912-819-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR",
            "address_2": "BLDG 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063928",
            "telephone_number": "912-527-5300",
            "fax_number": "912-527-5154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5353 Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056015",
            "country_code": "US",
            "telephone_number": "912-527-5300",
            "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": "912-527-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 E Tollison St Ste A",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315130150",
            "country_code": "US",
            "telephone_number": "912-527-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10055 Ford Ave Ste 5A",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313243974",
            "country_code": "US",
            "telephone_number": "912-527-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Towne Center Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224068",
            "country_code": "US",
            "telephone_number": "912-527-5300",
            "fax_number": "912-527-5154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Eisenhower Dr Ste 16",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314062632",
            "country_code": "US",
            "telephone_number": "912-527-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5354 Reynolds St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056012",
            "country_code": "US",
            "telephone_number": "912-527-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89 Interchange Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313247661",
            "country_code": "US",
            "telephone_number": "912-527-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313134354",
            "country_code": "US",
            "telephone_number": "912-527-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SJ SC CARDIOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPH'S HOSPITAL, INC",
        "enumeration_date": "2016-04-13",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "NETWORK CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "912-819-2622"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "060679",
            "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 Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.