Active NPI
Darron S Standiford, PA
- Physician Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006105
- Practice address
- 5354 Reynolds St Ste 102
Savannah, GA 31405-6008 - Phone
- (912) 819-0500
- Fax
- (912) 819-0501
- NPI assigned
- May 10, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006105 | GA | Primary |
Addresses
Primary practice location
5354 Reynolds St Ste 102
Savannah, GA 31405-6008
Mailing address
602 E 72ND St
Savannah, GA 31405-4913
Phone (912) 819-7878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6105 | Other | GA | GEORGIA MEDICAL LICENSE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11700 Mercy Blvd
Savannah, GA 31419-1753
Phone (912) 819-0500
11705 Mercy Blvd
Savannah, GA 31419-1711
5354 Reynolds St
Suite 102
Savannah, GA 31405-6008
Phone (912) 819-0500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1671 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Urgentone, Inc. | Physician Assistant | Past | Accepting new patients |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Memorial Health Urgentone, Inc. | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- standiford@direct.sjchs.org
Organizations & group practices 6
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Savannah, GA
- NPI 1750635579
-
- Family Medicine Physician
- Savannah, GA
- NPI 1033131172
-
dba UrgentOne Godley Station
- Emergency Medicine Physician
- Pooler, GA
- NPI 1083782189
Physician Assistant
-
dba UrgentOne Savannah Mall
- Emergency Medicine Physician
- Savannah, GA
- NPI 1801818844
Physician Assistant
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1689966608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 E 72ND ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054913",
"telephone_number": "912-819-7878",
"fax_number": "912-819-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5354 REYNOLDS ST STE 102",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056008",
"telephone_number": "912-819-0500",
"fax_number": "912-819-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDIFORD",
"first_name": "DARRON",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-10",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "006105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA MEDICAL LICENSE",
"identifier": "6105",
"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 15, 2018; 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.