SJC Ms General Surgery, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SJC MS GENERAL SURGERY, LLC

Practice address

594 S Columbia Ave Ste 100
Rincon, GA 31326-9095

Phone

(912) 826-4057

Fax

(912) 826-2853

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Angela Hathaway

Title

Manager, Network Services

Phone

(912) 819-2649

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark E Blankenship, MD

  • Colon & Rectal Surgery Physician
  • Rincon, GA
  • NPI 1861492191
  Medicare reassignment Care Compare group NPD
• Thomas R Fitzsimmons, M.D.

  • Surgery Physician
  • Stockbridge, GA
  • NPI 1295729952
  Medicare reassignment Care Compare group NPD
• Russell Connelly Kirks, M.D.

  • Surgery Physician
  • Rincon, GA
  • NPI 1285079186
  Medicare reassignment Care Compare group NPD
• Gregory John Thomas, MD

  • Surgery Physician
  • Savannah, GA
  • NPI 1407349640
  Medicare reassignment Care Compare group NPD
• Madiha Aziz, MD

  • Surgery Physician
  • Savannah, GA
  • NPI 1801250113
  Medicare reassignment Care Compare group NPD (past)
• Saudia Mariah McCarley, MD

  • Surgery Physician
  • Savannah, GA
  • NPI 1558866434
  Care Compare group

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1295519775",
    "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": "912-819-2649",
            "fax_number": "912-819-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 S COLUMBIA AVE STE 100",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313269095",
            "telephone_number": "912-826-4057",
            "fax_number": "912-826-2853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5354 Reynolds St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056009",
            "country_code": "US",
            "telephone_number": "912-352-0920",
            "fax_number": "912-352-0955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10055 Ford Ave Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313243972",
            "country_code": "US",
            "telephone_number": "912-826-4057",
            "fax_number": "912-826-2853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Saint Josephs Candler Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229588",
            "country_code": "US",
            "telephone_number": "912-988-3340",
            "fax_number": "912-826-2853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5356 Reynolds St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056017",
            "country_code": "US",
            "telephone_number": "912-352-0920",
            "fax_number": "912-352-0955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SJC MS GENERAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER, NETWORK SERVICES",
        "authorized_official_telephone_number": "912-819-2649"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Steven Schnobrich, DC
• Misty Mae Seale, D.M.D.
• Serenity & Body Wellness LLC
• Annah Grace Sewell
• Nicole Silliman, APRN
• Small Steps Pediatric Speech Therapy,LLC
• Alexis Jasmine Small, RBT
• Abby Smith, LPC
• Chelsey Smith
• Ronald Smith

• Surgery Physician in Rincon, GA
• Providers in Rincon, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.