Marc F Greenberg, MD

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

038241 Issued in GA

Practice address

355 Tower Rd NE Ste 102
Marietta, GA 30060-9410

Phone

(770) 422-4055

Fax

(770) 528-6977

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Ophthalmology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Consultants of Atlanta, PCGroup PAC ID 8426031733, 30 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgreenberg2646@choa.gadirect.net

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.

• Eye Consultants of Atlanta, PC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1770679094
  Medicare reassignment Care Compare group NPD
• Eca Optical, LLC

  • Eyewear Supplier
  • Marietta, GA
  • NPI 1306061114
  NPD
• Eye Consultants of Atlanta Piedmont

  • Ophthalmologic Surgery Clinic/Center
  • Atlanta, GA
  • NPI 1003993965

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1093779431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE",
            "address_2": "SUITE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396407",
            "telephone_number": "404-351-2220",
            "fax_number": "404-352-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 TOWER RD NE STE 102",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609410",
            "telephone_number": "770-422-4055",
            "fax_number": "770-528-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "MARC",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "038241",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "GA",
            "license": "038241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "18DBCVD",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000608187A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Robert Green, M.D.
• Patience Chantel Green, MD
• Tita Marie Green, MS
• Ilyssa E Greenberg, D.O.
• Judy Schulman Greenberg, M.ED, LCSW
• Yashman Shauntia Greene-Teague, LMFT
• Deidre J Greene, MD
• Kameron Greene
• Margaret Karen Greene, LPC LMFT
• Toya Dotson Greene, D.D.S.

• Pediatric Ophthalmology and Strabismus Specialist Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.