SJC MEDICAL GROUP POOLER
NPI 1194741850
Family Medicine in Pooler, GA
NPI Status: Active since July 14, 2006
Contact Information
105 GRAND CENTRAL BLVD
SUITE 107
POOLER, GA
ZIP 31322
Phone: (912) 748-1999
Fax: (912) 748-3847
- Organization
- Family Medicine
- CLIA Number: 11D1048675
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-17-2026
About SJC MEDICAL GROUP POOLER
This page provides the complete NPI Profile along with additional information for Sjc Medical Group Pooler, a primary care provider established in Pooler, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1194741850 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Sjc Medical Group Pooler. The authorized official of this NPI record is Paul P Hinchey (President/ceo)
- NPI
- 1194741850
- Provider Legal Name
- CANDLER MEDICAL GROUP INC - GLENNVILLE
- Other Organization Name
- SJC MEDICAL GROUP POOLER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 105 GRAND CENTRAL BLVD SUITE 107 POOLER, GA 31322
- Location Phone
- (912) 748-1999
- Location Fax
- (912) 748-3847
- Mailing Address
- 602 E. 72ND STREET SAVANNAH, GA 31405
- Mailing Phone
- (912) 819-7878
- Mailing Fax
- (912) 748-3847
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-14-2006
- Last Update Date
- 11-16-2011
- Code Navigator
A primary care provider (PCP) like Sjc Medical Group Pooler sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6223 | MEDICARE UPIN (02) | GA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D1048675
- Facility Type
- Physician Office
- Certificate Effective Date
- January 18, 2024
- Certificate Expiration Date
- January 17, 2026
- Laboratory Director
- DR. MARIANNE P. FLEMING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sjc Medical Group Pooler to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SJC MEDICAL GROUP POOLER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 9 | 4 | 7 | 4 | 1 | 8 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 18 | 4 | 14 | 4 | 2 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 8 + 4 + 1 + 4 + 4 + 2 + 8 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1194741850 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336463744 | SALEM COUNSELING AND CONSULTING, LLC Organization | Social Worker (Clinical) | 105 GRAND CENTRAL BLVD SUITE 107 POOLER, GA 31322 (912) 308-8318 |
| 1497001382 | DR. LEEWOOD BRAWNER STILL O.D. Individual | Optometrist | 105 GRAND CENTRAL BLVD SUITE 110 POOLER, GA 31322 (912) 450-9200 |
| 1235591652 | SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC Organization | Internal Medicine (Pulmonary Disease) | 105 GRAND CENTRAL BLVD SUITE 108 POOLER, GA 31322 (912) 629-2290 |
| 1790377315 | MYA SMILEY Individual | Behavior Technician | 105 GRAND CENTRAL BLVD POOLER, GA 31322 (866) 610-0580 |
| 1568049344 | MORGAN LARISSA BROWN Individual | Behavior Technician | 105 GRAND CENTRAL BLVD POOLER, GA 31322 (912) 244-3305 |
| 1497335715 | MRS. DYNEESHA-MARIE CLARK Individual | Behavior Technician | 105 GRAND CENTRAL BLVD POOLER, GA 31322 (912) 244-3305 |
| 1346819521 | IDASHA LEE Individual | Behavior Technician | 105 GRAND CENTRAL BLVD POOLER, GA 31322 (912) 244-3305 |
| 1760883904 | MYEYEDR OPTOMETRY OF GEORGIA, LLC Organization | Optometrist | 105 GRAND CENTRAL BLVD SUITE #110 POOLER, GA 31322 (912) 450-9200 |
| 1053042580 | ARION IMANI BREVARD Individual | Behavior Technician | 105 GRAND CENTRAL BLVD POOLER, GA 31322 (912) 446-2473 |
| 1922720846 | MISS SYDNIE LEEANN JENKINS Individual | Behavior Technician | 105 GRAND CENTRAL BLVD POOLER, GA 31322 (912) 244-3305 |
| 1952097867 | TYREE JARELL THOMAS Individual | Behavior Technician | 105 GRAND CENTRAL BLVD POOLER, GA 31322 (912) 244-3305 |
| 1881455251 | OLIVIA VINSACK Individual | Behavior Technician | 105 GRAND CENTRAL BLVD POOLER, GA 31322 (912) 244-3305 |
| 1972255032 | SYDNEY ALEXA ARTHUR Individual | Behavior Technician | 105 GRAND CENTRAL BLVD POOLER, GA 31322 (330) 591-2244 |
| 1710700711 | SHALEADER LAING Individual | Behavior Technician | 105 GRAND CENTRAL BLVD POOLER, GA 31322 (912) 244-3305 |
| 1790501443 | JOHN LEWIS RBT Individual | Behavior Technician | 105 GRAND CENTRAL BLVD POOLER, GA 31322 (912) 244-3305 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194741850, enumerated in the NPI registry as an "organization" on July 14, 2006
The provider is located at 105 Grand Central Blvd Suite 107 Pooler, Ga 31322 and the phone number is (912) 748-1999
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D1048675 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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