Individual provider Active NPI

Jonathan W Biggers III, D.O.

  • Family Medicine Physician
  • Aylett, VA
National Provider Identifier
1184038705
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116027238 Issued in VA
Practice address
11814 King William Rd
Aylett, VA 23009-4103
Phone
(804) 769-3022
Fax
(804) 769-1253
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116027238 VA Primary

Addresses

Primary practice location

11814 King William Rd
Aylett, VA 23009-4103

Mailing address

11814 King William Rd
Aylett, VA 23009-4103
Phone (804) 769-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170918000806 VA Practitioner - Family Practice 7810261682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0116027238VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Jul 1, 2017 Accepting new patients
Central Virginia Health Services Inc CurrentSince Jul 1, 2017 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients

Locations

11814 King William Rd
Aylett, VA 23009
Phone (804) 769-3002

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Health Services Inc 94 clinicians

Practice addresses (Care Compare)

11814 King William Rd
Aylett, VA 23009-4103
Phone (804) 769-3022

Hospital & facility affiliations

  • Brookside Home Health, an Amedisys Company Home health agency, Williamsburg, VA, CCN 497415
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Vcu Health Tappahannock Hospital Hospital, Tappahannock, VA, CCN 490084

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1184038705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11814 KING WILLIAM RD",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230094103",
            "telephone_number": "804-769-3022",
            "fax_number": "804-769-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11814 KING WILLIAM RD",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230094103",
            "telephone_number": "804-769-3022",
            "fax_number": "804-769-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGGERS",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116027238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aylett, VA

Sources for this page

Verify at the official NPI Registry.