Individual provider Active NPI

Wilfredo Alexis Negron, M.D.

  • Obstetrics & Gynecology Physician
  • Savannah, GA
National Provider Identifier
1063663615
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
70292 Issued in GA
Practice address
5354 Reynolds St Ste 304
Savannah, GA 31405-6010
Phone
(912) 355-7303
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ponce School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5354 Reynolds St
Suite 304
Savannah, GA 31405-6010
Phone (912) 355-5593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150825003979 GA Practitioner - Obstetrics/Gynecology 4688618721 Reassigns benefits to 3 organizations
I20210128001611 VI Practitioner - Obstetrics/Gynecology 4688618721 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70292GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilfredo a. Negron, MD, LLC CurrentSince Oct 11, 2022 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Nov 23, 2020 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Oct 31, 2020 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Nov 23, 2020 Accepting new patients
Karen L Fehr Dalessandromdpc Past Accepting new patients
Candler Hospital Incorporated Past Accepting new patients
Southeast Georgia Health Services, L.L.C. Past Accepting new patients
James D Smith MD PC Obstetrics & Gynecology PastSince Feb 1, 2018 Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

5354 Reynolds St
Ste 304
Savannah, GA 31405
Phone (912) 355-2800

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIFJCD/Endpoint/AIFJCD

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME144816 FL
Obstetrics & Gynecology Physician 207V00000X 70292 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

5354 Reynolds St Ste 304
Savannah, GA 31405-6010

Mailing address

5354 Reynolds St Ste 304
Savannah, GA 31405-6010
Phone (912) 355-7303

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
003163466AMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2022.

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1063663615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST STE 304",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056010",
            "telephone_number": "912-355-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST STE 304",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056010",
            "telephone_number": "912-355-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "WILFREDO",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME144816",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "70292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003163466A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.