Individual provider Active NPI

John M Searles Jr., MD

  • Plastic and Reconstructive Surgery Physician
  • Savannah, GA
National Provider Identifier
1710966866
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
28886 Issued in GA
Practice address
900 Mohawk St Ste E
Savannah, GA 31419
Phone
(912) 925-0067
Fax
(126) 629-0280
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 28886 GA Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 37644 SC

Addresses

Primary practice location

900 Mohawk St Ste E
Savannah, GA 31419

Mailing address

10 William Pope Dr
Bluffton, SC 29909-7549
Phone (843) 842-2020

Other identifiers 4

IdentifierTypeStateIssuer
376444MedicaidSC
SC5157E499OtherSCMEDICARE PTAN
P01512717OtherSCRAILROAD MEDICARE
202I248316MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsearles@gscc.encitedirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150316001823 SC Practitioner - Plastic and Reconstructive Surgery 1951208677 Reassigns benefits to 1 organization
I20170718000038 GA Practitioner - Plastic and Reconstructive Surgery 1951208677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Colorado School of Medicine, Denver, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sidney P Smith MD PCGroup PAC ID 0042206807, 20 clinicians

Practice addresses (Care Compare)

900 Mohawk St
Suite E
Savannah, GA 31419-1768
Phone (912) 925-0067

900 Mohawk St E
Savannah, GA 31419-1768

9665 Ford Ave
Richmond Hill, GA 31324-3652
Phone (912) 756-4722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28886GAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney P Smith MD PC CurrentSince Jun 1, 2018 Accepting new patients
Jacs PC Past Accepting new patients
Elevate Holdings LLC Past Accepting new patients

Locations

200 Blue Moon Xing
Pooler, GA 31322
Phone (843) 842-2020

900 Mohawk St
Savannah, GA 31419
Phone (912) 920-2090

900 Mohawk St
Ste E
Savannah, GA 31419

176 Dermis Ave
Hardeeville, SC 29927
Phone (843) 208-2055

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1710966866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILLIAM POPE DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097549",
            "telephone_number": "843-842-2020",
            "fax_number": "843-705-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MOHAWK ST STE E",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-925-0067",
            "fax_number": "126-629-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARLES",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "28886",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "37644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376444",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "SC5157E499",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01512717",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202I248316",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsearles@gscc.encitedirect.com",
            "affiliation": "N",
            "address_1": "900 Mohawk St Ste E",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.