Sjc Thoracic Services, LLC
NPI 1114649779ActiveOrganization· Internal Medicine, Pulmonary Disease· Savannah, GA
Internal Medicine, Pulmonary Disease in Savannah, Georgia, registered in NPPES in September 2022. The authorized official on file is Pam Proman, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1114649779 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2022 |
| Last updated in NPPES | Sep 13, 2022 |
| Certified by provider | Sep 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (SC) |
|---|
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