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Sjc Ms General Surgery, LLC

NPI 1295519775ActiveOrganization· Surgery· Rincon, GA

Surgery in Rincon, Georgia, registered in NPPES in August 2023. The authorized official on file is Angela Hathaway, Manager, Network Services. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1295519775
StatusActive
Entity typeOrganization
NPI issuedAug 24, 2023
Last updated in NPPESJun 15, 2026
Certified by providerJun 15, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (GA)

Medicare sources and data years

Other general surgeons in Rincon

All general surgeons in Georgia