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SJC THORACIC SERVICES, LLC
NPI 1114649779
Internal Medicine - Pulmonary Disease in Savannah, GA

Active since September 12, 2022
225 CANDLER DR STE 201, SAVANNAH, GA 31405(912) 819-5757(912) 819-5753 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sjc Thoracic Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SJC THORACIC SERVICES, LLC (NPI 1114649779) is a healthcare organization registered as a pulmonary disease in Savannah, Georgia and active in the NPI registry since September 2022. The organization maintains 3 additional practice locations and lists Pam Proman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114649779
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSJC THORACIC SERVICES, LLC
Location Address225 CANDLER DR STE 201Savannah, GA 31405-6092
Mailing Address225 Candler Dr Ste 201Savannah, GA 31405-6092 · (912) 819-5757 · Fax (912) 819-5753
Phone(912) 819-5757
Fax(912) 819-5753
Organization SubpartNo
Authorized OfficialPam PromanAdministrator · (912) 819-7745
Enumeration DateSeptember 12, 2022
Last NPPES UpdateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1114649779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
225 CANDLER DR STE 201, Savannah, GA 31405
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Secondary Practice Locations 3

Location 112 Arley Way Ste 101BBluffton, SC 29910-8860 · Phone (912) 819-5757 · Fax (912) 819-5753
Location 2200 Doctors Dr Ste ODouglas, GA 31533-2202 · Phone (912) 383-5655 · Fax (912) 389-2117
Location 3225 Candler Dr Ste 100Savannah, GA 31405-6093 · Phone (912) 352-1700 · Fax (912) 354-8545

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sjc Thoracic Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sjc Thoracic Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Mullins, MD
Pulmonary Disease
NPI 1285602854
225 CANDLER DR STE 301
Savannah, GA 31405
(912) 819-5757
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sjc Thoracic Services, LLC's NPI number?

The NPI number for Sjc Thoracic Services, LLC is 1114649779. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Sjc Thoracic Services, LLC located?

Sjc Thoracic Services, LLC is located at 225 Candler Dr Ste 201, Savannah, GA 31405. The listed phone number is (912) 819-5757.

What is Sjc Thoracic Services, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sjc Thoracic Services, LLC enrolled in Medicare?

Yes. Sjc Thoracic Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sjc Thoracic Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Sjc Thoracic Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sjc Thoracic Services, LLC was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.