Individual provider Active NPI

Eric Douglas Jennings, MD

  • Ophthalmology Physician
  • Atlanta, GA
National Provider Identifier
1154613974
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
75745 Issued in GA
Practice address
800 Mount Vernon Hwy NE Ste 120
Atlanta, GA 30328-4293
Phone
(770) 804-1684
Fax
(770) 804-1679
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 75745 GA Primary

Addresses

Primary practice location

800 Mount Vernon Hwy NE Ste 120
Atlanta, GA 30328-4293

Mailing address

800 Mount Vernon Hwy NE Ste 120
Atlanta, GA 30328-4293
Phone (770) 804-1684

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
I20160826000129 GA Practitioner - Ophthalmology 1254565757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan Woolfson MD PC 29 clinicians

Practice addresses (Care Compare)

800 Mount Vernon Nehwy
Suite 100
Atlanta, GA 30328-4293
Phone (770) 804-1684

Merit-based Incentive Payment System (MIPS)

Final score
85.81 of 100Reported as group
Quality
81.18
Promoting interoperability
92
Improvement activities
40
Cost
78.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery129

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Woolfson, MD, PC Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
Jonathan Woolfson, MD, P.C. Ophthalmology Past Accepting new patients

Locations

8458 Campbellton St
Douglasville, GA 30134

2687 Sandy Plains Rd
Marietta, GA 30066
Phone (404) 214-2120

800 Mount Vernon Hwy NE
Ste 120
Sandy Springs, GA 30328

800 Mount Vernon Hwy NE
Ste 125
Sandy Springs, GA 30328
Phone (404) 256-1125

800 Mount Vernon Hwy NE
Ste 100
Sandy Springs, GA 30328
Phone (404) 237-1770

Interoperability endpoints

  • Direct secure messaging: ejennings@woolfsoneye.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1154613974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284293",
            "telephone_number": "770-804-1684",
            "fax_number": "770-804-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284293",
            "telephone_number": "770-804-1684",
            "fax_number": "770-804-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "ERIC",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "75745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.