Individual provider Active NPI

Paul C. Ajamian, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1144265406
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000977 Issued in GA
Practice address
5505 Peachtree Dunwoody Rd NE
Ste 300
Atlanta, GA 30342-1705
Phone
(404) 257-0814
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000977 GA Primary

Addresses

Primary practice location

5505 Peachtree Dunwoody Rd NE
Ste 300
Atlanta, GA 30342-1705

Mailing address

5505 Peachtree Dunwoody Rd NE
Ste 300
Atlanta, GA 30342-1705
Phone (404) 257-0814

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
I20111206000508 GA Practitioner - Optometry 5092980896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Eye Surgery Center PC.Group PAC ID 0345148979, 7 clinicians

Practice addresses (Care Compare)

5505 Peachtree Dunwoody Rd
Suite 300
Atlanta, GA 30342-1713
Phone (404) 257-0814

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
977GAMDPsychologist
000977GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Surgery Center, PC CurrentSince Nov 17, 2000 Accepting new patients

Locations

1903 Phoenix Blvd
Ste 100
Atlanta, GA 30349
Phone (770) 996-6664

3200 Downwood Cir NW
Ste 240
Atlanta, GA 30327
Phone (404) 355-7000

1013 E Freeway Dr SE
Ste 240
Conyers, GA 30094

3030 Lafayette Rd
Ft Oglethorpe, GA 30742
Phone (706) 861-5915

5505 Ptree Dunwoody Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 355-8721

Interoperability endpoints

  • Direct secure messaging: paul.ajamian.p41@direct.omnieyeatlanta.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1144265406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421705",
            "telephone_number": "404-257-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421705",
            "telephone_number": "404-257-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAMIAN",
        "first_name": "PAUL",
        "middle_name": "C.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "000977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.