SJC MS GENERAL SURGERY, LLC
NPI 1295519775
Surgery in Rincon, GA

Q: What is Sjc Ms General Surgery, LLC's NPI number?

The NPI number for Sjc Ms General Surgery, LLC is 1295519775. It was assigned to this organization in the NPPES registry on August 24, 2023.

Q: What is Sjc Ms General Surgery, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since August 24, 2023

594 S COLUMBIA AVE STE 100, RINCON, GA 31326(912) 826-4057(912) 826-2853 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2023, Aug 24, 2023 (2 updates tracked since 2023).

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About Sjc Ms General Surgery, Llc NPPES

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

SJC MS GENERAL SURGERY, LLC (NPI 1295519775) is a healthcare organization registered as a surgery in Rincon, Georgia and active in the NPI registry since August 2023. The organization maintains 4 additional practice locations and lists Angela Hathaway, Manager, Network Services, as its authorized official.

NPPES Registry Identity

NPI1295519775

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSJC MS GENERAL SURGERY, LLC

Location Address594 S COLUMBIA AVE STE 100Rincon, GA 31326-9095

Mailing Address836 E 65th St Ste 22Savannah, GA 31405-4493 · (912) 819-2649 · Fax (912) 819-3320

Phone(912) 826-4057

Fax(912) 826-2853

Organization SubpartNo

Authorized OfficialAngela HathawayManager, Network Services · (912) 819-2649

Enumeration DateAugust 24, 2023

Last NPPES UpdateJune 15, 20262 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1295519775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

594 S COLUMBIA AVE STE 100, Rincon, GA 31326

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Secondary Practice Locations 4

Location 110055 Ford Ave Ste 3ARichmond Hill, GA 31324-3972 · Phone (912) 826-4057 · Fax (912) 826-2853

Location 2101 Saint Josephs Candler Dr Ste 300Pooler, GA 31322-9588 · Phone (912) 988-3340 · Fax (912) 826-2853

Location 35356 Reynolds St Ste 510Savannah, GA 31405-6017 · Phone (912) 352-0920 · Fax (912) 352-0955

Location 45354 Reynolds St Ste 202Savannah, GA 31405-6009 · Phone (912) 352-0920 · Fax (912) 352-0955

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Ms General Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to Sjc Ms General Surgery, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

General Surgery9

Nurse Practitioner1

Clinicians, nearest first (10)

Russell Kirks, M.D.

General Surgery

NPI 1285079186

594 S COLUMBIA AVE STE 100
Rincon, GA 31326

(912) 826-4057

✔ PECOS✔ Accepts MedicareSame address

Mark Blankenship, MD

General Surgery

NPI 1861492191

594 S COLUMBIA AVE STE 100
Rincon, GA 31326

(912) 826-4057

✔ PECOS✔ Accepts MedicareSame address

Anthony Foley, M.D.

General Surgery

NPI 1043212731

594 S COLUMBIA AVE
Rincon, GA 31326

(912) 826-4057

✔ PECOS✔ Accepts MedicareSame address

John Odom, MD

General Surgery

NPI 1508866773

594 S COLUMBIA AVE STE 100
Rincon, GA 31326

(912) 826-4057

✔ PECOS✔ Accepts MedicareSame address

Madiha Aziz, MD

General Surgery

NPI 1801250113

5354 REYNOLDS ST STE 202
Savannah, GA 31405

(912) 826-4057

✔ PECOS✔ Accepts Medicare18 mi

Saudia Mccarley, MD

General Surgery

NPI 1558866434

5354 REYNOLDS ST STE 202
Savannah, GA 31405

(912) 352-2920

✔ PECOS✔ Accepts Medicare18 mi

Narra Reddy, MD

General Surgery

NPI 1164805958

5354 REYNOLDS ST STE 202
Savannah, GA 31405

(404) 452-5517

✔ PECOS✔ Accepts Medicare18 mi

Gregory Thomas, MD

General Surgery

NPI 1407349640

5354 REYNOLDS ST STE 202
Savannah, GA 31405

(912) 352-0920

✔ PECOS✔ Accepts Medicare18 mi

Jennifer Hales, NP-C #F05200177

Nurse Practitioner

NPI 1285241265

11909 MCAULEY DR STE 1002A
Savannah, GA 31419

(912) 354-8331

✔ PECOS✔ Accepts Medicare20 mi

Thomas Fitzsimmons, M.D.

General Surgery

NPI 1295729952

150 EAGLE SPRING CT STE A
Stockbridge, GA 30281

(678) 287-7710

✔ PECOS✔ Accepts Medicare195 mi

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 Ms General Surgery, LLC's NPI number?

The NPI number for Sjc Ms General Surgery, LLC is 1295519775. It was assigned to this organization in the NPPES registry on August 24, 2023.

Where is Sjc Ms General Surgery, LLC located?

Sjc Ms General Surgery, LLC is located at 594 S Columbia Ave Ste 100, Rincon, GA 31326. The listed phone number is (912) 826-4057.

What is Sjc Ms General Surgery, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sjc Ms General Surgery, LLC enrolled in Medicare?

Yes. Sjc Ms General Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sjc Ms General Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Sjc Ms General Surgery, 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. The largest specialties are General Surgery (9) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sjc Ms General Surgery, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sjc Ms General Surgery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sjc Ms General Surgery, LLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.