Organization Active NPI

Amy Jeffries, O.D., P.C.

Doing business as Jeffries Eye Care

  • Optometrist
  • Newnan, GA
National Provider Identifier
1144409418
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA-1847 Issued in GA
Legal business name
AMY JEFFRIES, O.D., P.C.
Doing business as
Jeffries Eye Care
Practice address
185 Glenda Trce Ste a
Newnan, GA 30265-3825
Phone
(770) 252-1999
Fax
(770) 502-1071
NPI assigned
Nov 2, 2007
Last updated
Nov 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Dr. Amy Rebecca Jeffries, O.D.NPI 1225097009
Title
Owner/President
Phone
(770) 252-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GA-1847 GA Primary

Addresses

Primary practice location

185 Glenda Trce Ste a
Newnan, GA 30265-3825

Mailing address

185 Glenda Trce Ste a
Newnan, GA 30265-3825
Phone (770) 252-1999

Other names 1

  • Jeffries Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060502000463 GA Part B Supplier - Clinic/Group Practice 2365452596 Receives reassigned benefits from 3 practitioners
Practice locations: Newnan, GA

National Provider Directory

National Provider Directory

Locations

185 Glenda Trce
Newnan, GA 30265

185 Glenda Trce
Ste A
Newnan, GA 30265
Phone (770) 252-1999

3150 Highway 34 E
Ste 306
Newnan, GA 30265
Phone (770) 252-1999

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1144409418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GLENDA TRCE STE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653825",
            "telephone_number": "770-252-1999",
            "fax_number": "770-502-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 GLENDA TRCE STE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653825",
            "telephone_number": "770-252-1999",
            "fax_number": "770-502-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY JEFFRIES, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "770-252-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA-1847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffries Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jeffries Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.