NPIMap

Organization Active NPI

Candler Internal Medicine

  • Internal Medicine Physician
  • Statesboro, GA
National Provider Identifier
1689893653
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CANDLER INTERNAL MEDICINE
Practice address
106 Briarwood Rd
Statesboro, GA 30458-2459
Phone
(912) 871-5000
Fax
(912) 681-1444
NPI assigned
Apr 25, 2007
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Rani S. Reddy, MDNPI 1841218013
Title
Owner
Phone
(912) 871-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

106 Briarwood Rd
Statesboro, GA 30458-2459

Mailing address

PO Box 2029
Statesboro, GA 30459-2029
Phone (912) 871-5000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0995872Candler Internal Medicine PC106 Briarwood Road, Statesboro, GA 30458Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1689893653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2029",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304592029",
            "telephone_number": "912-871-5000",
            "fax_number": "912-681-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BRIARWOOD RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582459",
            "telephone_number": "912-871-5000",
            "fax_number": "912-681-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLER INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RANI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-871-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.