Organization Active NPI

Eye Consultants of Atlanta Piedmont

  • Ophthalmologic Surgery Clinic/Center
  • Atlanta, GA
National Provider Identifier
1003993965
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
EYE CONSULTANTS OF ATLANTA PIEDMONT
Practice address
3193 Howell Mill Rd NW
Suite 100
Atlanta, GA 30327-2119
Phone
(404) 350-1410
Fax
(404) 350-1416
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Lisa Brooks
Title
Facility Coordinator
Phone
(404) 350-1410

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X GA
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW
Suite 100
Atlanta, GA 30327-2119

Mailing address

3193 Howell Mill Rd NW
Suite 100
Atlanta, GA 30327-2119
Phone (404) 350-1410

Other identifiers 2

IdentifierTypeStateIssuer
000950111AMedicaidGA
111203ASCAOtherGAMEDICARE ID

Other names 1

  • Piedmont Eye Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111109000815 GA Part B Supplier - Ambulatory Surgical Center 4880867753 Practice locations: Atlanta, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Piedmont EyeCCN 11C0001203
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0994178Piedmont Eye3193 Howell Mill Road, Suite 100, Atlanta, GA 30327Certificate of waiverDec 5, 2027

National Provider Directory

National Provider Directory

Locations

140 Trinity Pl
Athens, GA 30607

35 Collier Rd NW
Ste 535
Atlanta, GA 30309
Phone (404) 351-9512

3193 Howell Mill Rd NW
Ste 115
Atlanta, GA 30327
Phone (404) 350-1425

3929 Peachtree Rd NE
Ste 340
Brookhaven, GA 30319
Phone (470) 298-8553

2660 Satellite Blvd
Duluth, GA 30096
Phone (404) 785-8330

2070 Pleasant Hill Rd
Ste 100
Duluth, GA 30096
Phone (770) 622-2020

2070 Pleasant Hill Rd
Duluth, GA 30096

1255 Highway 54 W
Ste 305
Fayetteville, GA 30214

111 Fieldstone Dr
Milledgeville, GA 31061
Phone (478) 452-0578

5445 Meridian Mark Rd
Sandy Springs, GA 30342
Phone (404) 255-2419

5445 Meridian Mark Rd
Ste 220
Sandy Springs, GA 30342
Phone (404) 255-2419

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003993965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-350-1410",
            "fax_number": "404-350-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-350-1410",
            "fax_number": "404-350-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CONSULTANTS OF ATLANTA PIEDMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "FACILITY COORDINATOR",
        "authorized_official_telephone_number": "404-350-1410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000950111A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "111203ASCA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.