Individual provider Active NPI

Ronald F. Goldberg, M.D.

  • Hematology & Oncology Physician
  • Savannah, GA
National Provider Identifier
1417971649
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
020433 Issued in GA
Practice address
225 Candler Dr
Suite 300
Savannah, GA 31405
Phone
(912) 354-6187
Fax
(912) 355-0596
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 020433 GA Primary

Addresses

Primary practice location

225 Candler Dr
Suite 300
Savannah, GA 31405

Mailing address

5400 Sutlive St
Savannah, GA 31405-4721
Phone (912) 354-6187

Other practice location 1

16741 Highway 67 Ste B
Statesboro, GA 30458-2529
Phone (912) 354-6187

Other practice location 2

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 354-6187

Other practice location 3

459 Highway 119 S Ste B
Springfield, GA 31329-3021
Phone (912) 354-6187

Other practice location 4

8 Okatie Center Blvd S Ste 201
Okatie, SC 29909-7543
Phone (843) 705-4848

Other identifiers 5

IdentifierTypeStateIssuer
000177526BMedicaidGA
000177526FMedicaidGA
000177526HMedicaidGA
314988MedicaidSC
020433OtherGAMEDICAL LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719000850 GA Practitioner - Hematology/Oncology 1153300546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Harvard Medical School, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 354-6187

1497 Fair Rd
Suite 311
Statesboro, GA 30458-0828
Phone (912) 354-6187

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1000

225 Candler Dr
Suite 300
Savannah, GA 31405-6091
Phone (912) 354-6187

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 354-6187

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Candler Medical Oncology Practice, LLC Hematology & Oncology CurrentSince Dec 1, 2014 Accepting new patients
Candler Medical Oncology Practice, LLC Hematology & Oncology CurrentSince Dec 1, 2014 Accepting new patients
Effingham Physician Practices, LLC Hematology & Oncology CurrentSince Sep 1, 2016 Accepting new patients
SJC Oncology Services - Georgia, LLC Past Accepting new patients

Locations

5400 Sutlive St
Savannah, GA 31405
Phone (912) 201-3825

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

225 Candler Dr
Ste 300
Savannah, GA 31405

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

459 Highway 119 S
Ste B
Springfield, GA 31329
Phone (912) 754-2560

16741 Highway 67
Ste B
Statesboro, GA 30458

1497 Fair Rd
Ste 311
Statesboro, GA 30458
Phone (340) 643-2227

1497 Fair Rd
Ste 305
Statesboro, GA 30458
Phone (912) 871-1360

8 Okatie Center Blvd S
Ste 201
Okatie, SC 29909
Phone (843) 705-4848

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/candler-47b034e8
  • Direct secure messaging: rgoldberg@summitcancercare.direct.varian.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1417971649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 SUTLIVE ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054721",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CANDLER DR",
            "address_2": "SUITE 300",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-0596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16741 Highway 67 Ste B",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304582529",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-0596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-0596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Highway 119 S Ste B",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-0596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Okatie Center Blvd S Ste 201",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299097543",
            "country_code": "US",
            "telephone_number": "843-705-4848",
            "fax_number": "912-354-0596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "RONALD",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "020433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000177526B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000177526F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000177526H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314988",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "020433",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.