Active NPI
George William Haggerson, M.D.
- Surgery Physician
- Winston Salem, NC
National Provider Identifier
1114984267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30914
- Practice address
- 3318 Healy Dr
Winston Salem, NC 27103-1404 - Phone
- (336) 768-7500
- Fax
- (336) 768-2421
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30914 | NC | Primary |
Addresses
Primary practice location
3318 Healy Dr
Winston Salem, NC 27103-1404
Mailing address
3318 Healy Dr
Winston Salem, NC 27103-1404
Phone (336) 768-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8938079 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Community Physicians PC | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189209600000",
"number": "1114984267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3318 HEALY DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031404",
"telephone_number": "336-768-7500",
"fax_number": "336-768-2421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3318 HEALY DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031404",
"telephone_number": "336-768-7500",
"fax_number": "336-768-2421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGERSON",
"first_name": "GEORGE",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2007-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "30914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8938079",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.