Christopher Edgerton, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-C 4307 Issued in GA

Practice address

42 Medical Arts Ctr
Savannah, GA 31405-4415

Phone

(912) 966-3779

Fax

(912) 963-2540

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Savannah Area Behavioral Health Collabortive

  • Social Worker
  • Garden City, GA
  • NPI 1568489904
  NPD (past)
• Affiliated Sante Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Spring, MD
  • NPI 1083720569
  NPD (past)
• Rock Creek Foundation

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1427780642
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932219672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MEDICAL ARTS CTR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054415",
            "telephone_number": "912-966-3779",
            "fax_number": "912-963-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MEDICAL ARTS CTR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054415",
            "telephone_number": "912-966-3779",
            "fax_number": "912-963-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERTON",
        "first_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "PA-C 4307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3055328035A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dystinee Edenfield
• Megan Ansley Edenfield, DPT
• Nadia Edenfield, FNP-C
• John Ralph Edgar, MD
• Kristen Edge
• Macllain Riley Edington
• Trinity Edmond
• Eduard Docu MD, LLC
• Edward M Drohan PHD LLC
• Stephanie Edwards-Young

• Medical Physician Assistant in Savannah, GA
• Providers in Savannah, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.