James L Purvis, O. D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPT000866 Issued in GA

Practice address

844 Ozora Rd
Lawrenceville, GA 30045-6650

Phone

(678) 643-6116

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mystic Medical LLCGroup PAC ID 6305165655, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Mystic Medical, LLC

  • Foot & Ankle Surgery Podiatrist
  • Atlanta, GA
  • NPI 1093108763
  Medicare reassignment Care Compare group NPD
• Clinton Resources Inc

  • Optometrist
  • Cumming, GA
  • NPI 1871780775
  NPD (past) Authorized official
• Modern Eyes of Georgia, LLC

  • Optometrist
  • Buford, GA
  • NPI 1982831756
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1366498214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 OZORA RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456650",
            "telephone_number": "678-643-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 OZORA RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456650",
            "telephone_number": "678-643-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "OPT000866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366498214",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000161257L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jena Pugh, CNP
• Pulsewave Technologies LLC
• Nocollege A Pupuma, P.A.C.
• Timi Lenea Purcell - Wennemann, LPC
• Purple Recovery Center for Men
• Patricia Assini Putkamer, RBT
• Dieu Lien Thi Quach, AGPCNP
• Qualified and Certified Homecare
• Quality Caregap Services LLC
• Quality Eyecare

• Corneal and Contact Management Optometrist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Corneal and Contact Management Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.