WAYNE SJC MEDICAL GROUP, LLC – NPI #1538421177
Otolaryngology
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
WAYNE SJC MEDICAL GROUP, LLC is an otolaryngologist located in JESUP, GA. NPPES has assigned the NPI number 1538421177 to WAYNE SJC MEDICAL GROUP, LLC on June 11, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 10 years ago on Aug 25, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WAYNE SJC MEDICAL GROUP, LLC below.
NPI Profile for
WAYNE SJC MEDICAL GROUP, LLC
(about 14 years ago)
JESUP, GA 31545-0244 Phone: (912) 427-7790 Fax: (912) 427-7707
CEO
Phone: (912) 427-7790
Identifiers for WAYNE SJC MEDICAL GROUP, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | GA | 003127436A | |
| MEDICAID | GA | 272895969C |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Y00000X - Otolaryngology (Primary) |
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| 231H00000X - Audiologist |
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| 207X00000X - Orthopaedic Surgery |
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| 207RC0200X - Internal Medicine / Critical Care Medicine |
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| 207RC0000X - Internal Medicine / Cardiovascular Disease |
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| 207Q00000X - Family Medicine |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.