Screven Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

055049 Issued in GA

Legal business name

SCREVEN MEDICAL ASSOCIATES

Practice address

211 Mims Rd
Sylvania, GA 30467-1994

Phone

(912) 564-2779

Fax

(912) 564-5888

NPI assigned

Jul 26, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Santiago Giraldo, M.D.

Title

Physician

Phone

(912) 564-2779

Specialties & licenses 1

Addresses

Tax ID family

Screven Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Screven County Family Medicine

  • Family Medicine Physician
  • Sylvania, GA
  • NPI 1407010689
  NPD tax ID

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528068210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304670219",
            "telephone_number": "912-564-2779",
            "fax_number": "912-564-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MIMS RD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304671994",
            "telephone_number": "912-564-2779",
            "fax_number": "912-564-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCREVEN MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIRALDO",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "912-564-2779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Screven County Hospital LLC (Optim Medical Center - Screven)
• Screven County Hospital, LLC (Optim Medical Center - Screven)
• Screven County Hospital, LLC (Optim Surgical Associates - Sylvania)
• Screven County School System
• Screven Dental
• Screven Primary Care
• Teresita Maria Smith, PHD, FNP-BC
• Soulshine Counseling Services, LLC
• Southeast Lung & Critical Care Specialists
• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)

• Internal Medicine Physician in Sylvania, GA
• Providers in Sylvania, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.