NPIMap

Individual provider Active NPI

Thomas J. Hogan Jr., MD

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1265472823
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040099 Issued in GA
Practice address
4425 Paulsen St
BLDG. a 1St Floor
Savannah, GA 31405-3662
Phone
(912) 350-6000
Fax
(912) 350-6001
NPI assigned
Jun 8, 2006
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 040099 GA Primary

Addresses

Primary practice location

4425 Paulsen St
BLDG. a 1St Floor
Savannah, GA 31405-3662

Mailing address

6602 Waters Ave BLDG a
Savannah, GA 31406-2778
Phone (912) 350-6000

Other practice location 1

6602 Waters Ave Bldg A
Savannah, GA 31406-2778
Phone (912) 350-6000

Other identifiers 8

IdentifierTypeStateIssuer
000680325CMedicaidGA
619196OtherGAWELLCARE
000680325DMedicaidGA
000680325EMedicaidGA
G40099MedicaidSC
10065723OtherGAAMERIGROUP
110214365OtherGARR MEDICARE
349783OtherGAWELLCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thogan49691@epicsav.hcadirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091207000170 GA Practitioner - Internal Medicine 4688609977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savannah Primary Care Associates LLCGroup PAC ID 4688935760, 36 clinicians

Practice addresses (Care Compare)

6602 Waters Ave
BLDG a
Savannah, GA 31406-2778
Phone (912) 897-3766

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MPPG, Inc. Internal Medicine CurrentSince Feb 28, 2001 Accepting new patients
Savannah Primary Care Associates, LLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Memorial Physicians Group Inc Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1107 E 66th St
Savannah, GA 31404
Phone (912) 350-8404

4425 Paulsen St
Bldg A
Savannah, GA 31405
Phone (912) 350-6000

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4731 Waters Ave
Savannah, GA 31404
Phone (912) 350-4905

6602 Waters Ave
Bldg A
Savannah, GA 31406
Phone (912) 350-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1265472823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 WATERS AVE BLDG A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062778",
            "telephone_number": "912-350-6000",
            "fax_number": "912-350-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "address_2": "BLDG. A 1ST FLOOR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-350-6000",
            "fax_number": "912-350-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6602 Waters Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314062778",
            "country_code": "US",
            "telephone_number": "912-350-6000",
            "fax_number": "912-350-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "040099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000680325C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "619196",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000680325D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000680325E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G40099",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10065723",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110214365",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "349783",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thogan49691@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "6602 Waters Ave Bldg A",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314062778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.