Individual provider Active NPI

Eric C Segerberg, M.D

  • Surgery Physician
  • Brunswick, GA
National Provider Identifier
1558428326
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
19600 Issued in GA
Practice address
2500 Starling Street
Suite 201
Brunswick, GA 31520-4267
Phone
(912) 265-5125
Fax
(912) 261-0907
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19600 GA Primary

Addresses

Primary practice location

2500 Starling Street
Suite 201
Brunswick, GA 31520-4267

Mailing address

2500 Starling Street
Suite 201
Brunswick, GA 31520-4267
Phone (912) 265-5125

Other identifiers 1

IdentifierTypeStateIssuer
00180991AMedicaidGA

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
I20100304000080 GA Practitioner - General Surgery 4082717624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

2000 Dan Proctor Dr
Saint Marys, GA 31558-3810
Phone (912) 576-6200

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079

2500 Starling St
Suite 201
Brunswick, GA 31520-4267
Phone (912) 265-5125

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue154
Removal of skin lesions52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19600GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Surgical Associates Surgery Current Accepting new patients
Cooperative Healthcare Services Inc Surgery CurrentSince Jan 1, 2010 Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2500 Starling St
Ste 201
Brunswick, GA 31520
Phone (912) 265-5125

2600 Wildwood Dr
Brunswick, GA 31520
Phone (912) 466-5200

Interoperability endpoints

  • Direct secure messaging: esegerb@secure.sghsmessaging.org

Organizations & group practices 2

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 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1558428326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STARLING STREET",
            "address_2": "SUITE 201",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204267",
            "telephone_number": "912-265-5125",
            "fax_number": "912-261-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 STARLING STREET",
            "address_2": "SUITE 201",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204267",
            "telephone_number": "912-265-5125",
            "fax_number": "912-261-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGERBERG",
        "first_name": "ERIC",
        "middle_name": "C",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "19600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00180991A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.