Northeast Georgia Vision Care LLC
A Medicare group practice based in Cornelia, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7416055603), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7416055603
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- GA
- Enrollments
- 2
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20070612000492 | GA | Part B Supplier - Clinic/Group Practice | 1336281971 |
| O20100930047524 | GA | DME Supplier - Physician - Optometrist | 1487641858 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Cornelia, GA2
- Athens, GA1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).
-
Joel Chandler Jenkins, O.D.
- Optometrist
- Athens, GA
- NPI 1487634705
-
Holton S King Jr., O.D.
- Optometrist
- Cornelia, GA
- NPI 1194713990
-
Kylea Carver McCay
- Optometrist
- Cornelia, GA
- NPI 1336972710
-
Timothy Alan Parker, O.D.
- Optometrist
- Cornelia, GA
- NPI 1972541738
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.