Individual provider Active NPI

Michael B Minix, M.D.

  • Ophthalmology Physician
  • Warner Robins, GA
National Provider Identifier
1306867387
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
60671 Issued in GA
Practice address
216 Corder Rd
Warner Robins, GA 31088
Phone
(478) 923-5872
Fax
(478) 922-9020
NPI assigned
Jul 22, 2006
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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 ME80880 FL
Ophthalmology Physician 207W00000X 60671 GA Primary

Addresses

Primary practice location

216 Corder Rd
Warner Robins, GA 31088

Mailing address

216 Corder Rd
Warner Robins, GA 31088-3604
Phone (478) 923-5872

Other identifiers 3

IdentifierTypeStateIssuer
P00276129OtherRAILROAD MEDICARE
255128895CMedicaidGA
64322324MedicaidKY

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
I20140609001480 GA Practitioner - Ophthalmology 5294713129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kentucky College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gayton Health Centre PCGroup PAC ID 9830142710, 13 clinicians

Practice addresses (Care Compare)

216 Corder Rd
Warner Robins, GA 31088-3604
Phone (478) 923-5872

Merit-based Incentive Payment System (MIPS)

Final score
90.09 of 100Reported as group
Quality
90.67
Improvement activities
40
Cost
79.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60671GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gayton Health Centre, PC Past Accepting new patients
Physicians Eye Center Ophthalmology Past Accepting new patients
Vidalia Eye Associates, Inc. Ophthalmology PastSince Sep 23, 1996 Accepting new patients
Coastal Eye Care LLC PastSince Nov 18, 2022 Accepting new patients
Charles J. Breen, MD, PSC Ophthalmology PastSince Feb 1, 2006 Accepting new patients
Robert H Fier Mdpa Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mbminix@eyesightassoc.direct.eyemdemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1306867387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CORDER RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883604",
            "telephone_number": "478-923-5872",
            "fax_number": "478-922-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CORDER RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-923-5872",
            "fax_number": "478-922-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIX",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME80880",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "60671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00276129",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255128895C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64322324",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.