Individual provider Active NPI

Ryan J. Whitted, MD

  • Ophthalmology Physician
  • Atlanta, GA
National Provider Identifier
1326295502
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
83633 Issued in GA
Practice address
3225 Cumberland Blvd SE Ste 800
Atlanta, GA 30339-5970
Phone
(404) 351-2220
Fax
(404) 352-5392
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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 MD60627739 WA
Retina Specialist (Ophthalmology) Physician 207WX0107X 83633 GA
Ophthalmology Physician 207W00000X 83633 GA Primary

Addresses

Primary practice location

3225 Cumberland Blvd SE Ste 800
Atlanta, GA 30339-5970

Mailing address

3225 Cumberland Blvd SE Ste 900
Atlanta, GA 30339-5971
Phone (404) 351-2220

Other identifiers 1

IdentifierTypeStateIssuer
2057324MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140814000842 KY Practitioner - Ophthalmology 9638396658 Reassigns benefits to 1 organization
I20190913000799 GA Practitioner - Ophthalmology 9638396658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Davis School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants of Atlanta, PCGroup PAC ID 8426031733, 30 clinicians

Practice addresses (Care Compare)

3225 Cumberland Blvd SE
Suite 900
Atlanta, GA 30339-5971
Phone (404) 351-2220

340 Brandywine Blvd
Fayetteville, GA 30214-1562
Phone (770) 719-7950

350 Brandywine Blvd
Suite 100
Fayetteville, GA 30214-1562
Phone (678) 385-0377

5445 Meridian Mark Rd
Suite 220
Atlanta, GA 30342-4755
Phone (404) 255-2419

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
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
83633GAMDOphthalmology Physician
MD60627739WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants of Atlanta, PC Ophthalmology CurrentSince Jul 2, 2019 Accepting new patients
Kentucky Medical Services Foundation, Inc Ophthalmology CurrentSince Jul 1, 2014 Accepting new patients
Eca Optical, LLC CurrentSince Jul 2, 2019 Accepting new patients
Eye Consultants of Atlanta Piedmont Ophthalmology Past Accepting new patients

Locations

105 Trinity Pl
Athens, GA 30607
Phone (706) 433-2035

3225 Cumberland Blvd SE
Ste 900
Atlanta, GA 30339
Phone (770) 394-4568

95 Collier Rd NW
Ste 3000
Atlanta, GA 30309
Phone (404) 605-2261

3193 Howell Mill Rd NW
Ste 115
Atlanta, GA 30327
Phone (404) 350-1425

3225 Cumberland Blvd SE
Ste 800
Atlanta, GA 30339
Phone (404) 875-9011

35 Collier Rd NW
Ste 535
Atlanta, GA 30309
Phone (404) 351-9512

3225 Cumberland Blvd SE
Ste 800900
Atlanta, GA 30339

3929 Peachtree Rd NE
Ste 340
Brookhaven, GA 30319
Phone (470) 298-8553

410 Peachtree Pkwy
Ste 300
Cumming, GA 30041
Phone (404) 785-3020

350 Brandywine Blvd
Ste 100
Fayetteville, GA 30214
Phone (678) 385-0377

350 Brandywine Blvd
Ste 101
Fayetteville, GA 30214
Phone (678) 801-6818

340 Brandywine Blvd
Fayetteville, GA 30214
Phone (770) 460-4286

1265 Highway 54 W
Ste 305
Fayetteville, GA 30214
Phone (770) 719-5660

601 Professional Dr
Ste 300
Lawrenceville, GA 30046
Phone (678) 323-1041

1429 Oglethorpe St
Macon, GA 31201
Phone (478) 743-1342

355 Tower Rd NE
Ste 100
Marietta, GA 30060
Phone (770) 424-5669

2645 Dallas Hwy SW
Ste 100
Marietta, GA 30064
Phone (770) 422-8002

5635 Peachtree Pkwy
Ste 270
Norcross, GA 30092
Phone (678) 781-7530

5445 Meridian Mark Rd
Ste 220
Sandy Springs, GA 30342
Phone (404) 255-2419

239 Village Center Pkwy
Ste 250
Stockbridge, GA 30281
Phone (470) 264-0840

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

Organizations & group practices 4

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1326295502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395971",
            "telephone_number": "404-351-2220",
            "fax_number": "404-352-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395970",
            "telephone_number": "404-351-2220",
            "fax_number": "404-352-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTED",
        "first_name": "RYAN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60627739",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "GA",
            "license": "83633",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "83633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2057324",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.