Individual provider Active NPI

Andrew Michael Carney, DO

  • Family Medicine Physician
  • Hinesville, GA
National Provider Identifier
1861921868
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225541 Issued in NC
Practice address
229 West General Screvan Way
Suite H1A
Hinesville, GA 31313
Phone
(912) 756-3872
Fax
(912) 756-5355
NPI assigned
Jun 5, 2017
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 225541 NC Primary

Addresses

Primary practice location

229 West General Screvan Way
Suite H1A
Hinesville, GA 31313

Mailing address

229 West General Screvan Way
Suite H1A
Hinesville, GA 31313
Phone (912) 756-3872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220302001936 GA Practitioner - Family Practice 0749551554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2017
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)

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-4949

16741 Hwy 67
Suite a
Statesboro, GA 30458-2529
Phone (912) 623-2391

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
225541NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SJC Medical Group Inc Family Medicine CurrentSince Feb 1, 2022 Accepting new patients

Locations

229 W General Screven Way
Ste H1A
Hinesville, GA 31313
Phone (912) 756-3872

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

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

Interoperability endpoints

  • Direct secure messaging: andrew.carney@sjcmg.eclinicaldirectplus.com
  • Direct secure messaging: drcarneya@direct.sjchs.org

Organizations & group practices 1

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.

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1861921868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 WEST GENERAL SCREVAN WAY",
            "address_2": "SUITE H1A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-756-3872",
            "fax_number": "912-756-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 WEST GENERAL SCREVAN WAY",
            "address_2": "SUITE H1A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-756-3872",
            "fax_number": "912-756-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "225541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.