Organization Active NPI

Soj Group PC

  • Gynecology Physician
  • Savannah, GA
National Provider Identifier
1891937330
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
026137 Issued in GA
Legal business name
SOJ GROUP PC
Practice address
130 Tibet Ave Ste 3
Savannah, GA 31406-9028
Phone
(770) 214-1332
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Samuel O Johnson, MD
Title
President
Phone
(770) 214-1332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 026137 GA Primary

Addresses

Primary practice location

130 Tibet Ave Ste 3
Savannah, GA 31406-9028

Mailing address

130 Tibet Ave Ste 3
Savannah, GA 31406-9028

National Provider Directory

National Provider Directory

Locations

130 Tibet Ave
Ste 3
Savannah, GA 31406
Phone (770) 214-1332

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1891937330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TIBET AVE STE 3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314069028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TIBET AVE STE 3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314069028",
            "telephone_number": "770-214-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOJ GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-214-1332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "026137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.