SJC MEDICAL GROUP INC
NPI 1811233828
Family Medicine in Savannah, GA

Q: What is Sjc Medical Group Inc's NPI number?

The NPI number for Sjc Medical Group Inc is 1811233828. It was assigned to this organization in the NPPES registry on December 19, 2012.

Q: What is Sjc Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 19, 2012CLIA 11D0967163 · Waiver

527 EISENHOWER DR, SAVANNAH, GA 31406(912) 819-9100(912) 819-9100 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sjc Medical Group Inc NPPES

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

SJC MEDICAL GROUP INC (NPI 1811233828) is a healthcare organization registered as a family medicine in Savannah, Georgia and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Donna J Stephens, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1811233828

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSJC MEDICAL GROUP INC

Location Address527 EISENHOWER DRSavannah, GA 31406-2668

Mailing Address602 E 72nd StSavannah, GA 31405-4913 · (912) 819-7878 · Fax (912) 819-7850

Phone(912) 819-9100

Fax(912) 819-9100

Organization SubpartNo

Authorized OfficialDonna J StephensCredentialing Coordinator · (912) 819-7878

Enumeration DateDecember 19, 2012

Last NPPES UpdateJanuary 23, 2017

✔ NPI 1811233828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

527 EISENHOWER DR, Savannah, GA 31406

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0967163

Sjc Medical Group - Jose M Rendon, MD · Savannah, GA

Active · expires Aug 20, 2026

CLIA Number11D0967163

Laboratory TypePhysician Office

Certificate Effective DateAugust 21, 2024

Certificate Expiration DateAugust 20, 2026

Laboratory DirectorJose M. Rendon Garcia

Laboratory Phone(912) 927-0785

Laboratory LocationSjc Medical Group - Jose M Rendon, MD11909 D Mcauley Drive, Savannah, GA 31419

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHADIJA JONES-SHELTON DO

Family Medicine