Active NPI
Low Country Cancer Care
- Hematology & Oncology Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000489233E | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Savannah, GA
- NPI 1982006078
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.