Individual provider Active NPI

William J Degenhart, MD

  • Ophthalmology Physician
  • Savannah, GA
National Provider Identifier
1699714139
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
022538 Issued in GA
Practice address
4720 Waters Ave
Savannah, GA 31404-6292
Phone
(912) 354-4800
Fax
(912) 659-5821
NPI assigned
Jun 6, 2006
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 022538 GA Primary

Addresses

Primary practice location

4720 Waters Ave
Savannah, GA 31404-6292

Mailing address

4720 Waters Ave
Savannah, GA 31404-6292
Phone (912) 354-4800

Other identifiers 13

IdentifierTypeStateIssuer
000222296IOtherGAMEDICAID - RINCON
10053819OtherGAAMERIGROUP
1699714139OtherGAMEDICARE RAILROAD
000222296DOtherGAMEDICAID - SAVANNAH
000222296LOtherGAMEDICAID - STATESBORO
349746OtherGAWELLCARE OF GA
000222296MOtherGAMEDICAID - RINCON
000222296KOtherGAMEDICAID- SAVANNAH
G22538MedicaidSC
000222296EOtherGAMEDICAID - STATESBORO
000222296JOtherGAMEDICAID - RICHMOND HILL
511G701032OtherGAGA MEDICARE GROUP
GPA977OtherSCMEDICAID GRP. SAV

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
I20040816000550 GA Practitioner - Ophthalmology 6103899406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Towne Ctr Blvd
Pooler, GA 31322-4052
Phone (912) 748-1272

4720 Waters Ave
Savannah, GA 31404-6292
Phone (912) 629-5968

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022538GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Eye Institute of the Southeast, LLC Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.degenhart.p1@direct.gaeyeinstitute.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1699714139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046292",
            "telephone_number": "912-354-4800",
            "fax_number": "912-629-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046292",
            "telephone_number": "912-354-4800",
            "fax_number": "912-659-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENHART",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "022538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - RINCON",
            "identifier": "000222296I",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10053819",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "1699714139",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - SAVANNAH",
            "identifier": "000222296D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - STATESBORO",
            "identifier": "000222296L",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF GA",
            "identifier": "349746",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - RINCON",
            "identifier": "000222296M",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID- SAVANNAH",
            "identifier": "000222296K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G22538",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - STATESBORO",
            "identifier": "000222296E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - RICHMOND HILL",
            "identifier": "000222296J",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICARE GROUP",
            "identifier": "511G701032",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GRP. SAV",
            "identifier": "GPA977",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.