Active NPI
Justin Richards Wilkin, M.D.
- Ophthalmology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 071652
- Practice address
- 895 Canton Rd NE
Marietta, GA 30060-8934 - Phone
- (770) 427-8111
- NPI assigned
- Mar 29, 2010
- Last updated
- Jun 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 071652 | GA | Primary |
Addresses
Primary practice location
895 Canton Rd NE
Marietta, GA 30060-8934
Mailing address
3454 Chastain Glen LN NE
Marietta, GA 30066-8510
Phone (706) 664-7987
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Medical College of Georgia School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2990 Eagle Dr
Suite 110
Woodstock, GA 30189-5575
Phone (770) 427-8111
895 Canton Rd NE
BLDG 100
Marietta, GA 30060-8935
Phone (770) 427-8111
895 Canton Rd NE
BLDG 200
Marietta, GA 30060-8934
Phone (770) 427-8111
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 718 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071652 | GA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marietta Eye Clinic PA | Ophthalmology | Current | Accepting new patients |
| Marietta Eye Clinic, PA | Ophthalmology | Current | Accepting new patients |
| Marietta Eye Clinic, PA | Ophthalmology | Past | Accepting new patients |
| Marietta Eye Clinic, PA | Ophthalmology | Past | Accepting new patients |
| Marietta Eye Clinic, PA | Ophthalmology | Past | Accepting new patients |
Locations
4450 Calibre Xing NW
Ste 1104
Acworth, GA 30101
Phone (678) 279-1141
3939 Roswell Rd
Ste 100
Marietta, GA 30062
Phone (770) 977-8000
895 Canton Rd NE
Bldg 100
Marietta, GA 30060
Phone (770) 425-6167
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1184949687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3454 CHASTAIN GLEN LN NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300668510",
"telephone_number": "706-664-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 CANTON RD NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608934",
"telephone_number": "770-427-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKIN",
"first_name": "JUSTIN",
"middle_name": "RICHARDS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-29",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "071652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.