Individual provider Active NPI

Mark J Weiner, M.D.

  • Ophthalmology Physician
  • Canton, GA
National Provider Identifier
1184616047
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
33748 Issued in GA
Practice address
100 River Pointe Pkwy
Canton, GA 30114-2865
Phone
(770) 720-4041
Fax
(770) 479-4857
NPI assigned
Aug 17, 2005
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 33748 GA Primary

Addresses

Primary practice location

100 River Pointe Pkwy
Canton, GA 30114-2865

Mailing address

800 Mount Vernon Hwy NE Ste 120
Atlanta, GA 30328-4293
Phone (770) 720-4041

Other identifiers 2

IdentifierTypeStateIssuer
000439348BMedicaidGA
180010817OtherGARAILROAD MEDICARE

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
I20100209000384 GA Practitioner - Ophthalmology 3173666450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan Woolfson MD PCGroup PAC ID 8426046665, 29 clinicians

Practice addresses (Care Compare)

800 Mount Vernon Nehwy
Suite 130
Atlanta, GA 30328-4293
Phone (404) 237-1770

Hospital & facility affiliations

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 surgery111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33748GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Woolfson, MD, PC Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients
Jonathan Woolfson, MD, PC Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients
Jonathan Woolfson, MD, P.C. Ophthalmology Past Accepting new patients

Locations

100 River Pointe Pkwy
Canton, GA 30114
Phone (770) 720-4041

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

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 130
Sandy Springs, GA 30328
Phone (404) 237-1770

Interoperability endpoints

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1184616047",
    "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": "770-720-4041",
            "fax_number": "770-479-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER POINTE PKWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142865",
            "telephone_number": "770-720-4041",
            "fax_number": "770-479-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "33748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000439348B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180010817",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.