NPIMap

Organization Active NPI

SJC Oncology Services - Georgia, LLC

  • Radiation Oncology Physician
  • Savannah, GA
National Provider Identifier
1710196589
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
SJC ONCOLOGY SERVICES - GEORGIA, LLC
Practice address
225 Candler Drive
Suite 100
Savannah, GA 31405-6023
Phone
(912) 352-1700
Fax
(912) 354-8545
NPI assigned
May 21, 2007
Last updated
Jun 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Mr. Gregory J Schaack
Title
Cfo, Finance
Phone
(912) 819-6162

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X
Gynecologic Oncology Physician 207VX0201X
Radiation Oncology Physician 2085R0001X Primary
Surgical Oncology Physician 2086X0206X 61684 GA

Addresses

Primary practice location

225 Candler Drive
Suite 100
Savannah, GA 31405-6023

Mailing address

PO Box 11407
Dept 1622
Birmingham, AL 35246-1622
Phone (912) 352-1700

Other practice location 1

228 Memorial Dr
Jesup, GA 31545-0102
Phone (912) 352-1700

Other practice location 2

16741 Highway 67 Ste G
Statesboro, GA 30458-2529
Phone (912) 352-1700

Other practice location 3

5353 Reynolds St Ste 107
Savannah, GA 31405-6015
Phone (912) 819-7630

Other practice location 4

5353 Reynolds St Ste 200
Savannah, GA 31405-6087
Phone (912) 819-5771

Other practice location 5

225 Candler Dr Ste 301
Savannah, GA 31405-6091
Phone (912) 352-1700

Other practice location 6

1706 Alice St
Waycross, GA 31501-5216
Phone (912) 352-1700

Other practice location 7

225 Candler Dr Ste 100
Savannah, GA 31405-6093
Phone (912) 352-1700

Other identifiers 2

IdentifierTypeStateIssuer
CI8039OtherGARAILROAD MEDICARE
300026248AMedicaidGA

Other names 1

  • F & G Associates, LP D/B/A Savannah Oncology Center Ltd Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050727000606 GA Part B Supplier - Clinic/Group Practice 8426086901 Receives reassigned benefits from 39 practitioners
Practice locations: Waycross, GA; Statesboro, GA; Savannah, GA; Pembroke, GA; Rincon, GA; Baxley, GA; Blackshear, GA; Hinesville, GA…

National Provider Directory

National Provider Directory

Locations

228 Memorial Dr
Jesup, GA 31545
Phone (912) 530-6582

861 S 1st St
Jesup, GA 31545
Phone (912) 810-2273

225 Candler Dr
Ste 100
Savannah, GA 31405
Phone (912) 352-1700

310 Eisenhower Dr
Bldg 11
Savannah, GA 31406
Phone (912) 352-1700

5353 Reynolds St
Ste 107
Savannah, GA 31405
Phone (912) 819-7630

16741 Highway 67
Ste G
Statesboro, GA 30458
Phone (912) 352-1700

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1710196589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DEPT 1622",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352461622",
            "telephone_number": "912-352-1700",
            "fax_number": "912-352-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CANDLER DRIVE",
            "address_2": "SUITE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056023",
            "telephone_number": "912-352-1700",
            "fax_number": "912-354-8545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315450102",
            "country_code": "US",
            "telephone_number": "912-352-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16741 Highway 67 Ste G",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304582529",
            "country_code": "US",
            "telephone_number": "912-352-1700",
            "fax_number": "912-354-8545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5353 Reynolds St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056015",
            "country_code": "US",
            "telephone_number": "912-819-7630",
            "fax_number": "912-819-5860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5353 Reynolds St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056087",
            "country_code": "US",
            "telephone_number": "912-819-5771",
            "fax_number": "912-819-5772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Candler Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056091",
            "country_code": "US",
            "telephone_number": "912-352-1700",
            "fax_number": "912-354-8545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 Alice St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015216",
            "country_code": "US",
            "telephone_number": "912-352-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Candler Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056093",
            "country_code": "US",
            "telephone_number": "912-352-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SJC ONCOLOGY SERVICES - GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "SCHAACK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO, FINANCE",
        "authorized_official_telephone_number": "912-819-6162",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "GA",
            "license": "61684",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI8039",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300026248A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "F & G Associates, LP D/B/A Savannah Oncology Center Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "F & G Associates, LP D/B/A Savannah Oncology Center Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.