Individual provider Active NPI

Gayle Leff Goldstein, MD

  • Ophthalmology Physician
  • Decatur, GA
National Provider Identifier
1093707325
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
049854 Issued in GA
Practice address
465 Winn Way
Ste 140
Decatur, GA 30030-1753
Phone
(404) 298-5557
Fax
(404) 297-9480
NPI assigned
Aug 23, 2005
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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 049854 GA Primary

Addresses

Primary practice location

465 Winn Way
Ste 140
Decatur, GA 30030-1753

Mailing address

4844 Adams Walk
Dunwoody, GA 30338-5256
Phone (770) 352-0233

Other identifiers 3

IdentifierTypeStateIssuer
702738OtherBCBS
00934062AMedicaidGA
2636967OtherGAAETNA

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
I20060106000626 GA Practitioner - Ophthalmology 8527081306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 E Ponce de Leon Ave
Suite 200
Decatur, GA 30030-3468
Phone (404) 298-5557

550 Peachtree St NE
Suite 1500
Atlanta, GA 30308-2248
Phone (404) 897-6810

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery257

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049854GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene B. Gabianelli, MD & Assoc. LLC Ophthalmology CurrentSince Dec 1, 2017 Accepting new patients
Eugene B Gabianelli MD & Assoc LLC Ophthalmology CurrentSince Dec 1, 2017 Accepting new patients

Locations

550 Peachtree St NE
Ste 1500
Atlanta, GA 30308
Phone (404) 897-6710

290 Merchants Sq
Ste I
Dallas, GA 30132
Phone (770) 445-8885

200 E Ponce de Leon Ave
Ste 200
Decatur, GA 30030
Phone (404) 298-5557

465 Winn Way
Ste 140
Decatur, GA 30030
Phone (404) 298-5557

1100 Johnson Fy Rd NE
Ste 108
Sandy Springs, GA 30342
Phone (404) 531-9988

1700 Tree Ln
Ste 135
Snellville, GA 30078
Phone (404) 298-5557

120 Stonebridge Pkwy
Ste 415
Woodstock, GA 30189
Phone (404) 953-4044

500 Ross St
#15404
Pittsburgh, PA 15262

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1093707325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4844 ADAMS WALK",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385256",
            "telephone_number": "770-352-0233",
            "fax_number": "404-297-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY",
            "address_2": "STE 140",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301753",
            "telephone_number": "404-298-5557",
            "fax_number": "404-297-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFF GOLDSTEIN",
        "first_name": "GAYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "049854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "702738",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00934062A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2636967",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.