Athens Eye Consultants LLC
Organization Active NPI Ophthalmology Physician · Athens, GA
NPI 1336748219 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1336748219
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- ATHENS EYE CONSULTANTS LLC
- Practice address
- 700 Sunset Dr Ste 503
Athens, GA 30606-2288 - Phone
- (706) 850-1771
- Fax
- (331) 204-0769
- NPI assigned
- Oct 21, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Scotty Lane Gadlin, MD
- Title
- Physician Owner
- Phone
- (706) 850-1771
Practitioners 4
-
Scotty Lane Gadlin, M.D.
-
Ann Marie Evans, NP
-
Robert Minnick Cannon, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201111002411 | GA | Part B Supplier - Clinic/Group Practice | 2769892298 |
Receives reassigned benefits from 1 practitioner Practice locations: Athens, GA |
National Provider Directory
Locations
700 Sunset Dr
Ste 503
Athens, GA 30606
Phone (706) 613-1040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
700 Sunset Dr Ste 503
Athens, GA 30606-2288
Mailing address
700 Sunset Dr Ste 503
Athens, GA 30606-2288
Phone (404) 550-8733
Other providers in Athens, GA
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- Athens Discount Drugs Inc
- Athens Dublin Area Dermatology, PC
- Athens Endoscopy, LLC
- Athens Eye Care LLC
- Athens Eye Surgery Center,LLC
- Athens Family Foot Care
- Athens Family Medicine
- Athens Family Medicine LLC
- Athens Free Clinic
All providers in Athens, GA · Ophthalmology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.