Active NPI
Preeti R Poley, M.D.
- Ophthalmology Physician
- Waynesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 082059
- Practice address
- 115 Dogwood Dr
Waynesboro, GA 30830-5448 - Phone
- (706) 535-7473
- Fax
- (706) 740-7473
- NPI assigned
- Jan 3, 2008
- Last updated
- Jan 14, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 81858 | SC | |
| Ophthalmology Physician | 207W00000X | 082059 | GA | Primary |
Addresses
Primary practice location
115 Dogwood Dr
Waynesboro, GA 30830-5448
Mailing address
115 Dogwood Dr
Waynesboro, GA 30830-5448
Phone (706) 535-7473
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036127346 | Other | IL | ILLINOIS LICENSE |
| 01071747A | Other | IN | INDIANA LICENSE |
| 036127346 | Medicaid | IL | |
| 036127346 | Other | IL | MEDICAL LICENSE |
| 201147260 | Medicaid | IN | |
| 496710 | Other | IN | MEDICARE |
| 790730006 | Other | IL | MEDICARE PTAN |
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
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Rush Medical College of Rush University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
115 Dogwood Dr
Waynesboro, GA 30830-5448
Phone (706) 535-7473
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082059 | GA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1306722244 | Current | Accepting new patients | |
| Retina Institute of the Southeast, P.C. | Current | Accepting new patients | |
| Midwest Eye Care, PC | Ophthalmology | Past | Accepting new patients |
| Midwest Eye Care PC | Ophthalmology | Past | Accepting new patients |
| Midwest Eye Care PC | Past | Accepting new patients | |
| Midwest Eye Care PC | Ophthalmology | Past | Accepting new patients |
| Retina Vitreous Associates, PC | Ophthalmology | Past | Accepting new patients |
| North Indiana Retina LLC | Ophthalmology | Past | Accepting new patients |
| Midwest Eye Care PC | Past | Accepting new patients | |
| Midwest Eye Care, PC | Ophthalmology | Past | Accepting new patients |
| Midwest Eye Care PC | Ophthalmology | Past | Accepting new patients |
| Midwest Eye Care PC | Past | Accepting new patients | |
| Midwest Eye Care, PC | Ophthalmology | Past | Accepting new patients |
| Midwest Eye Care, PC | Ophthalmology | Past | Accepting new patients |
| Midwest Eye Care PC | Ophthalmology | Past | Accepting new patients |
Locations
3511 River Watch Pkwy
Martinez, GA 30907
Phone (706) 535-7473
115 Dogwood Dr
Waynesboro, GA 30830
Phone (706) 535-7473
410 University Pkwy
Ste 1500A
Aiken, SC 29801
Phone (803) 262-5020
Interoperability endpoints
- preeti.poley.p2@direct.urologyqc.nextgenshare.com
Organizations & group practices 14
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.
-
- Retina Specialist (Ophthalmology) Physician
- Waynesboro, GA
- NPI 1932707627
-
- Optician
- Council Bluffs, IA
- NPI 1093867301
-
- Ophthalmic Technician/Technologist
- Fremont, NE
- NPI 1457467664
-
- Ophthalmology Physician
- Omaha, NE
- NPI 1750360897
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
dba Piedmont Augusta Hospital
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1285819615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 DOGWOOD DR",
"city": "WAYNESBORO",
"state": "GA",
"postal_code": "308305448",
"telephone_number": "706-535-7473",
"fax_number": "706-740-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 DOGWOOD DR",
"city": "WAYNESBORO",
"state": "GA",
"postal_code": "308305448",
"telephone_number": "706-535-7473",
"fax_number": "706-740-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLEY",
"first_name": "PREETI",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "81858",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "082059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE",
"identifier": "036127346",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA LICENSE",
"identifier": "01071747A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036127346",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "036127346",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201147260",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "496710",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "790730006",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.