Thomas Eye Surgery Center of Fayette

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THOMAS EYE SURGERY CENTER OF FAYETTE

Practice address

245 Greencastle Rd
Tyrone, GA 30290-2944

Phone

(404) 252-4675

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Kaufman, MDNPI 1053318550

Title

Medical Director

Phone

(404) 252-4675

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Thomas Eye Surgery Center of FayetteCCN 11C0001566

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Paul L Kaufman, M.D.

  • Ophthalmology Physician
  • Sandy Springs, GA
  • NPI 1053318550
  NPD Authorized official
• Dana J Wallace, M.D.

  • Ophthalmology Physician
  • Sandy Springs, GA
  • NPI 1659548543
  NPD

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1174233522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 PEACHTREE DUNWOODY RD STE A500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287162",
            "telephone_number": "678-781-7373",
            "fax_number": "678-538-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 GREENCASTLE RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902944",
            "telephone_number": "404-252-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS EYE SURGERY CENTER OF FAYETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-252-4675",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "plkaufman@teg.emadirect.md",
            "affiliation": "Y",
            "endpointDescription": "Direct Message email",
            "affiliationName": "Thomas Eye Group PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct email",
            "address_1": "5995 Barfield Rd",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittnie Renea Sweeney
• Synergy Rehabilitation Services, Inc.
• Christine Taylor, CNM
• Shantel Terry
• Thomas Eye Group PC (Thomas Eye Group)
• Savannah Claire Thomley
• Georgina Angeline Thompson, NP
• Deandrea Thornton Jr., CSCS
• Kyla Thrasher, CCC-SLP
• Kelly Jane Tipton, MD

• Ambulatory Surgical Clinic/Center in Tyrone, GA
• Providers in Tyrone, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.