Active NPI
Edward Daniel Biggerstaff, MD
- Gynecology Physician
- Savannah, GA
National Provider Identifier
1255325148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- GA 023427
- Practice address
- 5354 Reynolds St
Suite 518
Savannah, GA 31405-6007 - Phone
- (912) 355-7717
- Fax
- (912) 355-0979
- NPI assigned
- Sep 7, 2005
- Last updated
- Feb 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | GA 023427 | GA | Primary |
Addresses
Primary practice location
5354 Reynolds St
Suite 518
Savannah, GA 31405-6007
Mailing address
5354 Reynolds St
Suite 518
Savannah, GA 31405-6007
Phone (912) 355-7717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00241964B | Medicaid | GA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA 023427 | GA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1255325148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5354 REYNOLDS ST",
"address_2": "SUITE 518",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056007",
"telephone_number": "912-355-7717",
"fax_number": "912-355-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5354 REYNOLDS ST",
"address_2": "SUITE 518",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056007",
"telephone_number": "912-355-7717",
"fax_number": "912-355-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIGGERSTAFF",
"first_name": "EDWARD",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "GA 023427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00241964B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.