Individual provider Active NPI

Gina Borgnini, O.D.

  • Optometrist
  • Cumming, GA
National Provider Identifier
1124045893
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002446 Issued in GA
Practice address
970 Sanders Rd Ste 100
Cumming, GA 30041-5979
Phone
(678) 381-2020
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002446 GA Primary
Optometrist 152W00000X 18003413 IN

Addresses

Primary practice location

970 Sanders Rd Ste 100
Cumming, GA 30041-5979

Mailing address

7023 Bennington LN
Cumming, GA 30041-6002

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000726 GA Practitioner - Optometry 0547428070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Payne and Payne PCGroup PAC ID 5597666545, 5 clinicians

Practice addresses (Care Compare)

4330 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-6121
Phone (770) 232-7844

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003413INMDOptometrist
002446GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Payne & Payne, PC Optometrist CurrentSince Mar 6, 2017 Accepting new patients

Locations

9995 Jones Bridge Rd
Johns Creek, GA 30022
Phone (678) 366-1200

9995 Jones Bridge Rd
#200
Johns Creek, GA 30022
Phone (770) 475-1242

4330 Johns Creek Pkwy
Ste 300
Suwanee, GA 30024
Phone (770) 232-7844

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1124045893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 BENNINGTON LN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SANDERS RD STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415979",
            "telephone_number": "678-381-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGNINI",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002446",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.