Jing Dong M.D. P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JING DONG M.D. P.C.

Doing business as

Georgia Center for Sight

Practice address

651 S Milledge Ave
Athens, GA 30605-1250

Phone

(706) 546-9290

Fax

(706) 546-4938

NPI assigned

Jul 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candice B Davis

Title

Chief Revenue Cycle Officer

Phone

(916) 990-7590

Specialties & licenses 2

Addresses

Other names 1

• Georgia Center for Sight Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jing Dong M.D. P.C.

  dba Georgia Center for Sight

  • Eyewear Supplier
  • Athens, GA
  • NPI 1578729075

  O20060327000583

  Same enrollment

Tax ID family

Georgia Center for Sight2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jing Dong MD PC

  dba Georgia Center for Sight

  • Optometrist
  • Greensboro, GA
  • NPI 1164833380
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Andrew Berk, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Atlanta, GA
  • NPI 1811586621
  NPD
• Brandy Hobbs Flood

  • Optometrist
  • Lavonia, GA
  • NPI 1124204813
  NPD
• Rajesh Rangaraj, MD

  • Ophthalmology Physician
  • Marietta, GA
  • NPI 1528079878
  NPD
• James Quinten Tuckfield, DO

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1003443938
  NPD
• Onyale Warnock, OD

  • Optometrist
  • Athens, GA
  • NPI 1952038903
  NPD
• Jing Dong, MD PHD

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1356341119
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1245257757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051250",
            "telephone_number": "706-546-9290",
            "fax_number": "706-546-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051250",
            "telephone_number": "706-546-9290",
            "fax_number": "706-546-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 S McIntosh St",
            "address_purpose": "LOCATION",
            "city": "Elberton",
            "state": "GA",
            "postal_code": "306352465",
            "country_code": "US",
            "telephone_number": "706-283-7510",
            "fax_number": "706-283-7570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12877 Jones St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Lavonia",
            "state": "GA",
            "postal_code": "305530579",
            "country_code": "US",
            "telephone_number": "706-356-0575",
            "fax_number": "706-356-0579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Commerce Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306427444",
            "country_code": "US",
            "telephone_number": "706-453-1922",
            "fax_number": "706-453-1926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JING DONG M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "916-990-7590"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athens",
            "affiliation": "N",
            "address_1": "651 S Milledge Ave",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306051250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jdong@georgiacfs.intellechartdirect.net",
            "affiliation": "Y",
            "endpointDescription": "EHR EMAIL",
            "affiliationName": "Jing Dong M.D. P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "651 S Milledge Ave",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306051250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Georgia Center for Sight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Boone, LCSW LLC
• Jessica Parker
• Anna Catherine Jessup
• Sussnna Jesweak, RN
• Vinod Jeyaretnam, DO
• Jing Dong M.D. P.C. (Georgia Center for Sight)
• JMS Counseling LLC
• JNC Anesthesia, LLC
• John F. Elder MD PC
• John P. Gale DMD, PC

• Ophthalmology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.