Organization Active NPI

Low Country Cancer Care

  • Hematology & Oncology Physician
  • Savannah, GA
National Provider Identifier
1386669240
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
LOW COUNTRY CANCER CARE
Practice address
225 Candler Rd
Suite 201
Savannah, GA 31405-6023
Phone
(912) 692-2000
Fax
(912) 692-2100
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Loera Maria Rendon de Vallier
Title
Operations Manager
Phone
(912) 692-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

225 Candler Rd
Suite 201
Savannah, GA 31405-6023

Mailing address

225 Candler Rd
Suite 201
Savannah, GA 31405-6023
Phone (912) 692-2000

Other practice location 1

101 St Josephs Candler Dr Ste 340
Pooler, GA 31322-9588
Phone (912) 692-2000 ext. 330

Other practice location 2

229 W General Screven Way Ste H1
Hinesville, GA 31313-3054
Phone (912) 692-2000 ext. 330

Other practice location 3

12 Arley Way Ste 101B
Bluffton, SC 29910-8860
Phone (912) 692-2000 ext. 330

Other identifiers 1

IdentifierTypeStateIssuer
000489233EMedicaidGA

National Provider Directory

National Provider Directory

Locations

19 Moss Creek Vlg
Ste B5
Hilton Head Island, SC 29926
Phone (843) 837-3704

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1386669240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CANDLER RD",
            "address_2": "SUITE 201",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056023",
            "telephone_number": "912-692-2000",
            "fax_number": "912-692-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CANDLER RD",
            "address_2": "SUITE 201",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056023",
            "telephone_number": "912-692-2000",
            "fax_number": "912-692-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 St Josephs Candler Dr Ste 340",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229588",
            "country_code": "US",
            "telephone_number": "912-692-2000 x330",
            "fax_number": "912-692-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "229 W General Screven Way Ste H1",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313133054",
            "country_code": "US",
            "telephone_number": "912-692-2000 x330",
            "fax_number": "912-692-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Arley Way Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299108860",
            "country_code": "US",
            "telephone_number": "912-692-2000 x330",
            "fax_number": "912-692-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOW COUNTRY CANCER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "RENDON DE VALLIER",
        "authorized_official_first_name": "LOERA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "912-692-2000"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000489233E",
            "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 Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.