Active NPI
Jules Victor III, M.D.
- Internal Medicine Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 018122
- Practice address
- 1326 Eisenhower Dr
BLDG. 2
Savannah, GA 31406-3928 - Phone
- (912) 527-5100
- Fax
- (912) 527-5149
- NPI assigned
- Jul 15, 2005
- Last updated
- Feb 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 018122 | 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) 527-5100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000147892D | Medicaid | GA | |
| G18122 | Medicaid | SC | |
| 110128602 | Other | GA | RR MEDICARE |
| 681681 | Other | GA | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Effingham Rehab Services, LLC
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
123 Canal St
Suite 203
Pooler, GA 31322-4104
Phone (912) 988-1283
1326 Eisenhower Dr
Savannah, GA 31406-3928
Hospital & facility affiliations
- Enhabit Home Health
- St Joseph's/Candler Home Healthcare, Inc
- Island Hospice, Inc
- St Joseph's Hospital - Savannah
- Candler Hospital
- Oaks Health Ctr at the Marshes of Skidaway Island
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
Locations
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
1326 Eisenhower Dr
Bldg 2
Savannah, GA 31406
Phone (912) 354-5543
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- jules.victor.1@8042.direct.athenahealth.com
- julesvictoriii@scmgllc.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
dba Enhabit Home Health
- Home Health Agency
- Pooler, GA
- NPI 1649796582
-
dba Island Hospice
- Community Based Hospice Care Agency
- Savannah, GA
- NPI 1285766485
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
- Home Health Agency
- Savannah, GA
- NPI 1821082371
-
- Skilled Nursing Facility
- Savannah, GA
- NPI 1164642484
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1306845029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR",
"address_2": "BLDG. 2",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-527-5100",
"fax_number": "912-527-5149"
},
{
"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": "912-527-5100",
"fax_number": "912-527-5149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTOR",
"first_name": "JULES",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "018122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000147892D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G18122",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110128602",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "681681",
"state": "GA"
}
],
"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 Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.