Organization Active NPI

Summit Cancer Care, P.C.

  • Hematology & Oncology Physician
  • Savannah, GA
National Provider Identifier
1487676433
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SUMMIT CANCER CARE, P.C.
Practice address
4700 Waters Ave
Savannah, GA 31404-6220
Phone
(912) 354-6187
Fax
(912) 355-9807
NPI assigned
Jul 25, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kristine Tillman
Title
Cfo
Phone
(912) 354-6187

Specialties & licenses 1

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

Addresses

Primary practice location

4700 Waters Ave
Savannah, GA 31404-6220

Mailing address

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

Other practice location 1

8 Okatie Center Blvd S Ste 201
Okatie, SC 29909-7543
Phone (834) 705-4848

Other practice location 2

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

Other identifiers 1

IdentifierTypeStateIssuer
300022032HMedicaidGA

National Provider Directory

National Provider Directory

Locations

23 Sheridan Park Cir
#A
Bluffton, SC 29910

1010 Medical Center Dr
Ste 150
Hardeeville, SC 29927
Phone (842) 784-7777

8 Okatie Center Blvd S
#5201
Okatie, SC 29909

8 Okatie Center Blvd S
Ste 5201
Okatie, SC 29909

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487676433",
    "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": "4700 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-9807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Okatie Center Blvd S Ste 201",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299097543",
            "country_code": "US",
            "telephone_number": "834-705-4848",
            "fax_number": "912-355-9807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "912-355-9807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT CANCER CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-354-6187"
    },
    "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": "300022032H",
            "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 Jul 21, 2022; 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.