Organization Active NPI

Dr. Skeete & Associates of North Georgia, P.C.

  • Optometrist
  • Gainesville, GA
National Provider Identifier
1346769825
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001589 Issued in GA
Legal business name
DR. SKEETE & ASSOCIATES OF NORTH GEORGIA, P.C.
Practice address
150 Pearl Nix Parkway
Suite D3A
Gainesville, GA 30501
Phone
(770) 287-1623
Fax
(770) 297-0861
NPI assigned
Sep 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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

Authorized official

Name
Dr. Julius Nathaniel Skeete, O.D.NPI 1609088343
Title
Owner/Optometrist
Phone
(770) 287-1623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 001589 GA Primary

Addresses

Primary practice location

150 Pearl Nix Parkway
Suite D3A
Gainesville, GA 30501

Mailing address

150 Pearl Nix Parkway
Suite D3A
Gainesville, GA 30501
Phone (770) 287-1623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170928001926 GA Part B Supplier - Clinic/Group Practice 9234403320 Receives reassigned benefits from 2 practitioners
Practice locations: Gainesville, GA

National Provider Directory

National Provider Directory

Locations

150 Pearl Nix Pkwy
Ste D3A
Gainesville, GA 30501
Phone (770) 287-1623

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1346769825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PEARL NIX PARKWAY",
            "address_2": "SUITE D3A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-287-1623",
            "fax_number": "770-297-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PEARL NIX PARKWAY",
            "address_2": "SUITE D3A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-287-1623",
            "fax_number": "770-297-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SKEETE & ASSOCIATES OF NORTH GEORGIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "SKEETE",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "770-287-1623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.