NPIMap

Individual provider Active NPI

Lisa A Bozik, MD

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1831206382
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
050631 Issued in GA
Practice address
102 Bryan Wood Rd
Savannah, GA 31410-1225
Phone
(912) 898-1122
Fax
(912) 898-9944
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38743 SC
Internal Medicine Physician 207R00000X 050631 GA Primary

Addresses

Primary practice location

102 Bryan Wood Rd
Savannah, GA 31410-1225

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041008001190 GA Practitioner - Internal MedicinePractitioner - Family Practice 3476512955 Reassigns benefits to 1 organization
Practice locations: Macon, GA
I20151029002945 SC Practitioner - Internal Medicine 3476512955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Mercer University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SJC Medical Group IncGroup PAC ID 7719978105, 57 clinicians

Practice addresses (Care Compare)

102 Bryan Wood Rd
Savannah, GA 31410-1225
Phone (912) 898-1122

Hospital & facility affiliations

  • St Joseph'S/Candler Home Healthcare, Inc Home health agency, Savannah, GA, CCN 117143
  • Amedisys Home Health Home health agency, Savannah, GA, CCN 117078
  • Centerwell Home Health Home health agency, Savannah, GA, CCN 117090
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38743SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edisto Regional Health Services Inc. CurrentSince Sep 3, 2015 Accepting new patients
Edisto Regional Health Services Inc. Current Accepting new patients
Edisto Regional Health Services Inc CurrentSince Sep 3, 2015 Accepting new patients
SJC Medical Group Inc Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Candler Medical Group, Inc. - Islands PastSince Nov 1, 2017 Accepting new patients

Locations

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

102 Bryan Woods Rd
Savannah, GA 31410
Phone (912) 828-1122

602 E 72nd St
Savannah, GA 31405
Phone (912) 819-7800

187 Bunch Ford Rd
Holly Hill, SC 29059
Phone (803) 395-3068

Interoperability endpoints

  • Direct secure messaging: drbozik@direct.sjchs.org

Organizations & group practices 5

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1831206382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E 72ND ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054913",
            "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": "102 BRYAN WOOD RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101225",
            "telephone_number": "912-898-1122",
            "fax_number": "912-898-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZIK",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "38743",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "050631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.