Active NPI
Jay Steven Berger, MD
- Ophthalmology Physician
- Newnan, GA
National Provider Identifier
1235166547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 026455
- Practice address
- 58 Hospital Road
Suite 203
Newnan, GA 30263 - Phone
- (770) 253-9900
- Fax
- (770) 253-7351
- NPI assigned
- Jun 26, 2006
- Last updated
- Aug 12, 2008
- 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 | 026455 | GA | Primary |
Addresses
Primary practice location
58 Hospital Road
Suite 203
Newnan, GA 30263
Mailing address
58 Hospital Road
Suite 203
Newnan, GA 30263
Phone (770) 253-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180002775 | Other | GA | RAILROAD MEDICARE |
| 000291849A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026455 | GA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay S. Berger, M.D., P.C. | Past | Accepting new patients | |
| Clear Vision Optical Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optician
- Newnan, GA
- NPI 1487666483
-
- Specialist
- Newnan, GA
- NPI 1316128507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1235166547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 HOSPITAL ROAD",
"address_2": "SUITE 203",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30263",
"telephone_number": "770-253-9900",
"fax_number": "770-253-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 HOSPITAL ROAD",
"address_2": "SUITE 203",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30263",
"telephone_number": "770-253-9900",
"fax_number": "770-253-7351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "JAY",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "026455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180002775",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000291849A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.