Active NPI
St Josephs Candler Urgent Care Centers LLC
- Urgent Care Clinic/Center
- Savannah, GA
National Provider Identifier
1922580133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ST JOSEPHS CANDLER URGENT CARE CENTERS LLC
- Practice address
- 361 Commercial Dr
Savannah, GA 31406-3659 - Phone
- (912) 355-6221
- NPI assigned
- Sep 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara White
- Title
- VP Rev Cycle Services
- Phone
- (225) 214-1031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
361 Commercial Dr
Savannah, GA 31406-3659
Mailing address
PO Box 415000
MSC 8071
Nashville, TN 37241-8071
Phone (912) 819-6000
Other practice location 1
101 St. Joseph's Candler Drive
Pooler, GA 31322
Phone (912) 450-1945
Other practice location 2
5621 Ga Highway 21 S
Rincon, GA 31326-9416
Phone (912) 295-5860
Other practice location 3
1096 Bermuda Run
Statesboro, GA 30458-0858
Phone (912) 871-5150
Other practice location 4
107 Canal St
Pooler, GA 31322-4016
Phone (912) 450-1945
Other practice location 5
780 E Oglethorpe Hwy
Hinesville, GA 31313-2808
Phone (912) 385-0801
Other practice location 6
3866 Belfast Keller Rd
Building A, Suite 104
Richmond Hill, GA 31324
Phone (912) 910-2720
Other practice location 7
3 Progressive St
Bluffton, SC 29910-5165
Phone (843) 548-0533
Other practice location 8
13314 Highway 144 Ste C
Richmond Hill, GA 31324-7353
Phone (912) 910-2010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190515000494 | GA | Part B Supplier - Clinic/Group Practice | 5092058016 |
Receives reassigned benefits from 36 practitioners Practice locations: Pooler, GA; Statesboro, GA; Savannah, GA; Rincon, GA; Richmond Hill, GA; Ellabell, GA; Hinesville, GA |
| O20190520001421 | SC | Part B Supplier - Clinic/Group Practice | 5092058016 |
Receives reassigned benefits from 15 practitioners Practice locations: Bluffton, SC |
| O20190703000181 | GA | DME Supplier - Multi-Specialty - Physician | 5092058016 | Practice locations: Savannah, GA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Urgent Care Clinic/Center
- Bluffton, SC
- NPI 1902468697
5092058016
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2064789 | St Joseph'S Candler Urgent Care Centers | Certificate of waiver | Aug 3, 2027 |
| 11D2106529 | St Joseph'S Candler Urgent Care Centers Rincon | Certificate of waiver | Aug 1, 2027 |
| 11D2166498 | St Joseph'S Candler Urgent Care Centers | Certificate of waiver | Aug 1, 2027 |
| 11D2293700 | St Josephs Candler Urgent Care Centers Heartwood | Certificate of waiver | Nov 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
64 Oracal Pkwy
Ellabell, GA 31308
101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945
3866 Belfast Keller Rd
Bldg A
Richmond Hill, GA 31324
Phone (912) 910-2720
3866 Belfast Keller Rd
Ste 104
Richmond Hill, GA 31324
Phone (912) 910-2720
Practitioners & affiliated clinicians
Practitioners 94
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706659200000",
"number": "1922580133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415000",
"address_2": "MSC 8071",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372418071",
"telephone_number": "912-819-6000",
"fax_number": "912-819-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 COMMERCIAL DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063659",
"telephone_number": "912-355-6221"
}
],
"practiceLocations": [
{
"address_1": "101 St. Joseph's Candler Drive",
"address_purpose": "LOCATION",
"city": "Pooler",
"state": "GA",
"postal_code": "31322",
"country_code": "US",
"telephone_number": "912-450-1945",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5621 Ga Highway 21 S",
"address_purpose": "LOCATION",
"city": "Rincon",
"state": "GA",
"postal_code": "313269416",
"country_code": "US",
"telephone_number": "912-295-5860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1096 Bermuda Run",
"address_purpose": "LOCATION",
"city": "Statesboro",
"state": "GA",
"postal_code": "304580858",
"country_code": "US",
"telephone_number": "912-871-5150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 Canal St",
"address_purpose": "LOCATION",
"city": "Pooler",
"state": "GA",
"postal_code": "313224016",
"country_code": "US",
"telephone_number": "912-450-1945",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 E Oglethorpe Hwy",
"address_purpose": "LOCATION",
"city": "Hinesville",
"state": "GA",
"postal_code": "313132808",
"country_code": "US",
"telephone_number": "912-385-0801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3866 Belfast Keller Rd",
"address_2": "Building A, Suite 104",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "GA",
"postal_code": "31324",
"country_code": "US",
"telephone_number": "912-910-2720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Progressive St",
"address_purpose": "LOCATION",
"city": "Bluffton",
"state": "SC",
"postal_code": "299105165",
"country_code": "US",
"telephone_number": "843-548-0533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13314 Highway 144 Ste C",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "GA",
"postal_code": "313247353",
"country_code": "US",
"telephone_number": "912-910-2010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ST JOSEPHS CANDLER URGENT CARE CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-04",
"last_updated": "2024-01-31",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "VP REV CYCLE SERVICES",
"authorized_official_telephone_number": "225-214-1031"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"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 Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.