Individual provider Active NPI

Amy Cora Burgett, MDFACOG

  • Specialist
  • Savannah, GA
National Provider Identifier
1336246149
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
030022 Issued in GA
Practice address
5356 Reynolds St
Suite 410
Savannah, GA 31405-6016
Phone
(912) 355-8136
Fax
(912) 352-7014
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 030022 GA Primary

Addresses

Primary practice location

5356 Reynolds St
Suite 410
Savannah, GA 31405-6016

Mailing address

25 Wyndham CT
Savannah, GA 31410-3856
Phone (912) 355-8136

Other identifiers 1

IdentifierTypeStateIssuer
00598001CMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040511000159 GA Practitioner - Obstetrics/Gynecology 7911996392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah OBGYN PCGroup PAC ID 9638161334, 9 clinicians

Practice addresses (Care Compare)

5353 Reynolds St
Suite 300
Savannah, GA 31405-6015

5356 Reynolds St
Savannah, GA 31405-6020
Phone (912) 355-8136

Hospital & facility affiliations

  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • Effingham Health System Hospital, Springfield, GA, CCN 111306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030022GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah OBGYN PC Specialist CurrentSince Aug 18, 2003 Accepting new patients

Locations

5353 Reynolds St
Ste 302
Savannah, GA 31405
Phone (912) 355-8136

5356 Reynolds St
Ste 410
Savannah, GA 31405
Phone (912) 355-8136

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1336246149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WYNDHAM CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314103856",
            "telephone_number": "912-355-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST",
            "address_2": "SUITE 410",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056016",
            "telephone_number": "912-355-8136",
            "fax_number": "912-352-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGETT",
        "first_name": "AMY",
        "middle_name": "CORA",
        "name_prefix": "Dr.",
        "credential": "MDFACOG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "030022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00598001C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.