Organization Active NPI

Savannah River Advanced Surgery

  • Surgery Physician
  • Augusta, GA
National Provider Identifier
1508704347
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SAVANNAH RIVER ADVANCED SURGERY
Practice address
1109 Medical Center Dr Ste 3
Augusta, GA 30909-6644
Phone
(803) 220-1716
NPI assigned
Mar 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Dr. Juaquito Mario Jorge, MDNPI 1629206511
Title
Ceo and Founder
Phone
(312) 523-1424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1109 Medical Center Dr Ste 3
Augusta, GA 30909-6644

Mailing address

728 Michaels CRK
Evans, GA 30809-4042
Phone (202) 430-5326

National Provider Directory

National Provider Directory

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": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1508704347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 MICHAELS CRK",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094042",
            "telephone_number": "202-430-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 MEDICAL CENTER DR STE 3",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096644",
            "telephone_number": "803-220-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH RIVER ADVANCED SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "JUAQUITO",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "312-523-1424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.