Active NPI
Savannah River Advanced Surgery
- Surgery Physician
- Augusta, GA
National Provider Identifier
1508704347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juaquito Mario Jorge, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Augusta, GA
- NPI 1629206511
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.