Individual provider Active NPI

Elliot Levine, MD

  • Ophthalmology Physician
  • Atlanta, GA
National Provider Identifier
1356305775
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
034400 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
Apr 13, 2006
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 034400 GA Primary

Addresses

Primary practice location

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

Mailing address

3225 Cumberland Blvd SE
Suite 900
Atlanta, GA 30339-6407
Phone (404) 351-2220

Other identifiers 1

IdentifierTypeStateIssuer
000467134AMedicaidGA

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
I20100920000653 GA Practitioner - Ophthalmology 9638294200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1987
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 800
Atlanta, GA 30339-5970
Phone (404) 351-2220

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 surgery199

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eca Optical, LLC CurrentSince Oct 1, 1994 Accepting new patients
Eye Consultants of Atlanta, PC Ophthalmology CurrentSince Oct 1, 1994 Accepting new patients
Eye Consultants of Atlanta Piedmont Ophthalmology PastSince Oct 26, 2011 Accepting new patients
Eca Optical, LLC PastSince Jan 1, 2010 Accepting new patients

Locations

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

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

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

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

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

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, 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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1356305775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE",
            "address_2": "SUITE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396407",
            "telephone_number": "404-351-2220",
            "fax_number": "404-355-5624"
        },
        {
            "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": "LEVINE",
        "first_name": "ELLIOT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "034400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000467134A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.