Peggy J Bergrab, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

064330 Issued in GA

Practice address

2336 Dawson Rd
Suite 2200
Albany, GA 31707-2800

Phone

(229) 312-8800

Fax

(229) 312-8855

NPI assigned

May 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Peggy J Johnson Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007
• Wynfield Park Health and Rehabilitation Nursing home, Albany, GA, CCN 115625

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peggy.bergrab@phoebehealth.gadirect.net
• Direct secure messaging: peggy.bergrab.1@8478.direct.athenahealth.com

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.

• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment Care Compare group NPD
• Phoebe Physiatry

  • Physical Medicine & Rehabilitation Physician
  • Albany, GA
  • NPI 1295055861
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Phoebe Putney Memorial Hospital

  • Family Medicine Physician
  • Albany, GA
  • NPI 1609268176
  NPD (past)

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

• Phoebe Putney Memorial Hospital Inc

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721
  Care Compare affiliation
• Wynfield Park Health and Rehabilitation LLC

  • Skilled Nursing Facility
  • Albany, GA
  • NPI 1366716714

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1285953695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 DAWSON RD",
            "address_2": "SUITE 2200",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072800",
            "telephone_number": "229-312-8800",
            "fax_number": "229-312-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 DAWSON RD",
            "address_2": "SUITE 2200",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072800",
            "telephone_number": "229-312-8800",
            "fax_number": "229-312-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGRAB",
        "first_name": "PEGGY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "064330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "JOHNSON",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie S Bennett, NP
• Michael Bennett
• Berg Eye Center, P. C.
• Berg Eye Center, PC
• Joseph Chandler Berg, MD
• Ametra Berry
• David Lee Berry Jr., CACII
• Jennifer P. Berry, NP
• William Russell Berry III, DDS
• Zarriah Ra'Leigh Ja-Qwann Berry

• Family Medicine Physician in Albany, GA
• Providers in Albany, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.