Juan Javier Servat, M.D.

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

70909 Issued in GA

Practice address

3890 Johns Creek Pkwy Ste 240
Suwanee, GA 30024-1286

Phone

(770) 604-4141

Fax

(770) 604-4140

NPI assigned

Jul 13, 2007

Last updated

Dec 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oculofacial Plastic Surgeons of Georgia, LLCGroup PAC ID 8325181217, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
• Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
• Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Oculofacial Plastic Surgeons of Georgia, LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Suwanee, GA
  • NPI 1871829192
  Medicare reassignment Care Compare group NPD
• Macon Eye Surgery Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Macon, GA
  • NPI 1356497747

  Ophthalmology

  Medicare reassignment NPD
• Warner Robins Partners

  dba Eyesight's Laser and Surgery Center

  • Ophthalmologic Surgery Clinic/Center
  • Warner Robins, GA
  • NPI 1235289448

  Ophthalmology

  Medicare reassignment NPD
• Marietta Outpatient Surgery, LTD

  • Ambulatory Surgical Clinic/Center
  • Marietta, GA
  • NPI 1669437109
  NPD (past)
• John a. Vollmer, MD, PC

  • Family Medicine Physician
  • Roseville, MI
  • NPI 1790965838
  NPD (past)
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Douglas Hospital, Inc.

  dba Wellstar Douglas Hospital

  • General Acute Care Hospital
  • Douglasville, GA
  • NPI 1649247974
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Cherokee

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396
  Care Compare affiliation
• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111
  Care Compare affiliation

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1255530762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY STE 245",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246697",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY STE 240",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241286",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Sunset Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062287",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1429 Oglethorpe St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312011512",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "856 1st St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312016875",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 River Park North Dr",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301887835",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Villa Rica Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301803273",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Dallas Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301801243",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Taylors Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Valley",
            "state": "GA",
            "postal_code": "310307415",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERVAT",
        "first_name": "JUAN",
        "middle_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "70909",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "70909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141770A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carrie Serr, RBT
• Autumn Session
• Kelli Severin
• Noor Sghayyer
• Robert H Shackelford, DDS
• Robert Daniel Shaffer, PHD

• Ophthalmic Plastic and Reconstructive Surgery Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.
• 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.

Verify at the official NPI Registry.