NPIMap

Organization Active NPI

Candler Medical Group, Inc. - Islands

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1811913486
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CANDLER MEDICAL GROUP, INC. - ISLANDS
Practice address
102 Bryan Woods Road
Savannah, GA 31410-1225
Phone
(912) 898-1122
Fax
(912) 898-9944
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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) 819-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

102 Bryan Woods Road
Savannah, GA 31410-1225

Mailing address

602 E. 72ND Street
Savannah, GA 31405-4913
Phone (912) 819-7878

Other names 1

  • SJC Med Grp Islands Doing business as

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
11D0943765St Josephs Candler Medical Group Islands102 Bryan Woods Road, Savannah, GA 31410Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Locations

11700 Mercy Blvd
Ste 1A
Savannah, GA 31419
Phone (912) 819-0500

11700 Mercy Blvd
Ste A
Savannah, GA 31419
Phone (912) 819-0500

11133 Abercorn St
Ste 10
Savannah, GA 31419
Phone (912) 925-3382

25 Hospital Center Blvd
Ste 101
Hilton Head Island, SC 29926
Phone (843) 689-6490

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1811913486",
    "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": "314054913",
            "telephone_number": "912-819-7878",
            "fax_number": "912-819-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BRYAN WOODS ROAD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101225",
            "telephone_number": "912-898-1122",
            "fax_number": "912-898-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLER MEDICAL GROUP, INC. - ISLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-01-10",
        "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": "912-819-6000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJC Med Grp Islands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 10, 2011; 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.