Organization Active NPI

Candler Medical Group-Central Park

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1669400263
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CANDLER MEDICAL GROUP-CENTRAL PARK
Practice address
527 Eisenhower Drive
Savannah, GA 31406-1612
Phone
(912) 819-9100
Fax
(912) 819-9101
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Paul P Hinchey
Title
President/Ceo
Phone
(912) 819-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

527 Eisenhower Drive
Savannah, GA 31406-1612

Mailing address

602 E 72ND Street
Savannah, GA 31405
Phone (912) 819-7878

Other identifiers 1

IdentifierTypeStateIssuer
GAP5684OtherGAMEDICARE GROUP #

National Provider Directory

National Provider Directory

Locations

340 Eisenhower Dr
Ste 1200
Savannah, GA 31406
Phone (912) 443-4200

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1669400263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E 72ND STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-819-7878",
            "fax_number": "912-819-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 EISENHOWER DRIVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061612",
            "telephone_number": "912-819-9100",
            "fax_number": "912-819-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLER MEDICAL GROUP-CENTRAL PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "HINCHEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "912-819-6001"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "GAP5684",
            "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 Aug 1, 2008; 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.