Individual provider Active NPI

Kristina Michelle Price, M.D.

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1295867760
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME104161 Issued in FL
Practice address
7205 Bonneval Rd
Jacksonville, FL 32256-3843
Phone
(904) 296-0098
Fax
(904) 861-3899
NPI assigned
Mar 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 57553 GA
Ophthalmology Physician 207W00000X 2007-00305 NC
Ophthalmology Physician 207W00000X ME104161 FL Primary

Addresses

Primary practice location

7205 Bonneval Rd
Jacksonville, FL 32256-3843

Mailing address

7205 Bonneval Rd
Jacksonville, FL 32256-3843
Phone (904) 296-0098

Other identifiers 2

IdentifierTypeStateIssuer
146K2OtherFLBCBS
001517800MedicaidFL

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
I20110316000332 GA Practitioner - Ophthalmology 9335240027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eugene B Gabianelli MD and Assoc LLCGroup PAC ID 5193702512, 30 clinicians

Practice addresses (Care Compare)

550 Peachtree St NE
Suite 1500
Atlanta, GA 30308-2248
Phone (404) 897-6810

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME104161FLMDOphthalmology Physician
2007-00305NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene B Gabianelli MD & Assoc LLC Ophthalmology CurrentSince Mar 1, 2011 Accepting new patients
Eugene B. Gabianelli, MD & Assoc. LLC Ophthalmology CurrentSince Mar 1, 2011 Accepting new patients

Locations

550 Peachtree St NE
Ste 1500
Atlanta, GA 30308
Phone (404) 897-6710

130 Vann St NE
Ste 230
Marietta, GA 30060
Phone (404) 425-1341

1121 Johnson Ferry Rd
Ste 400
Marietta, GA 30068
Phone (404) 973-4344

1100 Johnson Fy Rd NE
Ste 108
Sandy Springs, GA 30342
Phone (404) 531-9988

1700 Tree Ln
Ste 135
Snellville, GA 30078
Phone (404) 298-5557

120 Stonebridge Pkwy
Ste 415
Woodstock, GA 30189
Phone (404) 953-4044

500 Ross St
#15404
Pittsburgh, PA 15262

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1295867760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 BONNEVAL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563843",
            "telephone_number": "904-296-0098",
            "fax_number": "904-861-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 BONNEVAL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563843",
            "telephone_number": "904-296-0098",
            "fax_number": "904-861-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KRISTINA",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "57553",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2007-00305",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME104161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "146K2",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001517800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.