Edwin Nunnery III, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01092 Issued in NC

Practice address

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Phone

(404) 778-0263

Fax

(404) 778-1444

NPI assigned

Apr 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Trey Nunnery Other name

Medicare fee-for-service enrollment

Enrolled in NY, NC, SC3 enrollments

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 3

Specialty

Ophthalmology

Education

Emory University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Eye and Laser Specialists PCGroup PAC ID 4880698802, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Providence Eye and Laser Specialists, PC

  • Optometrist
  • Charlotte, NC
  • NPI 1154367217
  Medicare reassignment Care Compare group NPD
• Albany Medical College

  • Ophthalmology Physician
  • Albany, NY
  • NPI 1093749970
  NPD
• Albany Medical College

  • Obstetrics & Gynecology Physician
  • Albany, NY
  • NPI 1164456067
  NPD
• Albany Medical College

  • Urgent Care Clinic/Center
  • Albany, NY
  • NPI 1386038925
  NPD
• Albany Medical College

  • Neurology Physician
  • Albany, NY
  • NPI 1811921786
  NPD
• Cornea Consultants of Albany,PLLC

  • Ophthalmology Physician
  • Slingerlands, NY
  • NPI 1760466858
  NPD (past)

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1083057756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059",
            "telephone_number": "404-778-0263",
            "fax_number": "404-778-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNERY",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-12",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "01092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREY",
            "last_name": "NUNNERY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carla Fabiola Nunez
• Jacquelyn Elizabeth Nunez, MMSC, PA-C, ATC
• Jenny V. Nunez, DDS
• Wendy Nunlee, MD
• Holly Nunn, BCBA
• Nurse 2 Health Home Care LLC
• Nurse Pointers LLC
• Nurse Warren Healthcare Consulting Services LLC
• Marilyn A Nurse, NP-C
• Nursing Home Laboratory Service

• Ophthalmology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.