Individual provider Active NPI

Preeti R Poley, M.D.

  • Ophthalmology Physician
  • Waynesboro, GA
National Provider Identifier
1285819615
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
082059 Issued in GA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036127346OtherILILLINOIS LICENSE
01071747AOtherININDIANA LICENSE
036127346MedicaidIL
036127346OtherILMEDICAL LICENSE
201147260MedicaidIN
496710OtherINMEDICARE
790730006OtherILMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321000747 GA Practitioner - Ophthalmology 8820140213 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
082059GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1306722244 CurrentSince Aug 17, 2025 Accepting new patients
Retina Institute of the Southeast, P.C. CurrentSince Oct 28, 2020 Accepting new patients
Midwest Eye Care, PC Ophthalmology PastSince Jan 1, 1990 Accepting new patients
Midwest Eye Care PC Ophthalmology PastSince Jan 1, 1990 Accepting new patients
Midwest Eye Care PC PastSince Jan 1, 1990 Accepting new patients
Midwest Eye Care PC Ophthalmology PastSince Jan 1, 1990 Accepting new patients
Retina Vitreous Associates, PC Ophthalmology PastSince Dec 12, 2008 Accepting new patients
North Indiana Retina LLC Ophthalmology PastSince Oct 1, 2012 Accepting new patients
Midwest Eye Care PC PastSince Jan 1, 1990 Accepting new patients
Midwest Eye Care, PC Ophthalmology PastSince Jan 1, 1990 Accepting new patients
Midwest Eye Care PC Ophthalmology PastSince Jan 1, 1990 Accepting new patients
Midwest Eye Care PC PastSince Jan 1, 1990 Accepting new patients
Midwest Eye Care, PC Ophthalmology PastSince Jan 1, 1990 Accepting new patients
Midwest Eye Care, PC Ophthalmology PastSince Jan 1, 1990 Accepting new patients
Midwest Eye Care PC Ophthalmology PastSince Jan 1, 1990 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.