North Atlanta Vision LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

NORTH ATLANTA VISION LLC

Practice address

5185 Peachtree Pkwy Ste 365
Peachtree Corners, GA 30092-6542

Phone

(404) 777-2020

Fax

(404) 777-7701

NPI assigned

Apr 19, 2022

Last updated

May 17, 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

Dr. Purnima Sharad Patel, MDNPI 1316124183

Title

Ceo Owner

Phone

(404) 777-2020

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Purnima Sharad Patel, MD

  • Ophthalmology Physician
  • Peachtree Corners, GA
  • NPI 1316124183
  NPD Authorized official
• Rachel Shah

  • Retina Specialist (Ophthalmology) Physician
  • Detroit, MI
  • NPI 1598183972
  NPD

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1205579968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 MONROE DR NE STE F242",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245039",
            "telephone_number": "404-777-2020",
            "fax_number": "404-777-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY STE 365",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300926542",
            "telephone_number": "404-777-2020",
            "fax_number": "404-777-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATLANTA VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PURNIMA",
        "authorized_official_middle_name": "SHARAD",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "404-777-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003254871A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003106101F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmologic Surgery Clinic/Center in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Ophthalmologic Surgery Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.