Individual provider Active NPI

Jerry E Berland, M.D.

  • Ophthalmology Physician
  • Sandy Springs, GA
National Provider Identifier
1043217458
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
045397 Issued in GA
Practice address
5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone
(404) 256-1507
Fax
(404) 250-0440
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 045397 GA Primary

Addresses

Primary practice location

5995 Barfield Rd
Sandy Springs, GA 30328-4411

Mailing address

5901A Peachtree Dunwoody Rd NE
Ste 500
Atlanta, GA 30328-5382
Phone (404) 256-1507

Other identifiers 13

IdentifierTypeStateIssuer
3146OtherGACOVENTRY
00791909FMedicaidGA
180033858OtherGARR MEDICARE
328787OtherGAWELLCARE
13137OtherGACOVENTRY PPO
582209517OtherGAWORK COMP
0816345OtherGAUHC
10040682OtherGAAMERIGROUP
863814OtherGABCBS
5528131OtherGAAETNA
00791909EMedicaidGA
2060975OtherGAAETNA HMO
701836OtherGABCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeberland@teg.emadirect.md Direct

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
I20061108000473 GA Practitioner - Ophthalmology 0840283180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hahneman Medical College of the Pacific, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Eye Group PCGroup PAC ID 2567455868, 51 clinicians

Practice addresses (Care Compare)

11690 Alpharetta Hwy
Roswell, GA 30076-3805
Phone (770) 475-5515

1465 Satellite Blvd NW
Suwanee, GA 30024-4895
Phone (678) 287-7657

5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone (404) 256-1507

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66623FLMDPharmacist
045397GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Professional Services LLC CurrentSince May 16, 2023 Accepting new patients
Thomas Eye Group PC CurrentSince Sep 15, 2006 Accepting new patients
Thomas Eye Group PC Ophthalmology CurrentSince Sep 15, 2006 Accepting new patients
Thomas Eye Group PC Ophthalmology Current Accepting new patients
Thomas Eye Group PC Ophthalmology Past Accepting new patients

Locations

3975 Lawrenceville Hwy NW
Lilburn, GA 30047
Phone (770) 717-1191

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

5901 Peachtree Dunwoody Rd
Ste 500
Sandy Springs, GA 30328
Phone (678) 781-7373

149 Towne Lake Pkwy
Ste 102
Woodstock, GA 30188
Phone (770) 928-4544

Interoperability endpoints

  • Direct secure messaging: jberland3357@choa.gadirect.net

Organizations & group practices 5

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.

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1043217458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901A PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285382",
            "telephone_number": "404-256-1507",
            "fax_number": "404-250-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 BARFIELD RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284411",
            "telephone_number": "404-256-1507",
            "fax_number": "404-250-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLAND",
        "first_name": "JERRY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "045397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "3146",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00791909F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180033858",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "328787",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY PPO",
            "identifier": "13137",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "582209517",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0816345",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10040682",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "863814",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5528131",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00791909E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2060975",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "701836",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeberland@teg.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct edge",
            "address_1": "5995 Barfield Rd",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.