Active NPI
Candler Medical Group, Inc. - Rincon
- Family Medicine Physician
- Rincon, GA
National Provider Identifier
1336167980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CANDLER MEDICAL GROUP, INC. - RINCON
- Practice address
- 423 S. Columbia Avenue
Rincon, GA 31326 - Phone
- (912) 819-1000
- Fax
- (912) 826-2813
- NPI assigned
- Jul 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul P Hinchey
- Title
- President/Ceo
- Phone
- (912) 819-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
423 S. Columbia Avenue
Rincon, GA 31326
Mailing address
602 E 72ND St
Savannah, GA 31405-4913
Phone (912) 819-7800
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0704597 | Saint Joseph Candler Medical Group at Rincon | Provider-performed microscopy | Jan 25, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Savannah, GA
- NPI 1033139191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336167980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 E 72ND ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054913",
"telephone_number": "912-819-7800",
"fax_number": "912-819-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 S. COLUMBIA AVENUE",
"city": "RINCON",
"state": "GA",
"postal_code": "31326",
"telephone_number": "912-819-1000",
"fax_number": "912-826-2813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANDLER MEDICAL GROUP, INC. - RINCON",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HINCHEY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "912-819-6000"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.