Active NPI
Mark Joseph Eanes, M.D.
- Ophthalmology Physician
- Valdosta, GA
National Provider Identifier
1205947496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25970
- Practice address
- 206 S Patterson St
Valdosta, GA 31601-5668 - Phone
- (229) 333-5290
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 025970 | GA | |
| Ophthalmology Physician | 207W00000X | 25970 | GA | Primary |
Addresses
Primary practice location
206 S Patterson St
Valdosta, GA 31601-5668
Mailing address
PO Box 5147
Valdosta, GA 31603-5147
Phone (229) 333-5290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000330316D | Medicaid | GA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25970 | GA | MD | Ophthalmology Physician |
| 025970 | GA | MD | Public Health or Welfare Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Health District | Public Health Or Welfare | Current | Accepting new patients |
| South Health District | Public Health Or Welfare | Current | Accepting new patients |
Locations
206 S Patterson St
Valdosta, GA 31601
Phone (229) 245-6565
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.
-
- Public Health or Welfare Agency
- Valdosta, GA
- NPI 1295899524
-
- Public Health or Welfare Agency
- Fitzgerald, GA
- NPI 1669544367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1205947496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5147",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316035147",
"telephone_number": "229-333-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316015668",
"telephone_number": "229-333-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EANES",
"first_name": "MARK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "GA",
"license": "025970",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "25970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000330316D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.