Organization Active NPI

Eye Associates of North Atlanta LLC

  • Ophthalmology Physician
  • Alpharetta, GA
National Provider Identifier
1386005197
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
063220 Issued in GA
Legal business name
EYE ASSOCIATES OF NORTH ATLANTA LLC
Practice address
5755 N Point Pkwy
Ste 94
Alpharetta, GA 30022-1150
Phone
(470) 767-8287
Fax
(470) 349-7674
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Anand K Shah, M.D.NPI 1316084676
Title
Physician Owner
Phone
(706) 389-5060

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 063220 GA Primary

Addresses

Primary practice location

5755 N Point Pkwy
Ste 94
Alpharetta, GA 30022-1150

Mailing address

5755 N Point Pkwy
Ste 94
Alpharetta, GA 30022-1150
Phone (470) 767-8287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160429000889 GA Part B Supplier - Clinic/Group Practice 4385943117 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

5755 N Point Pkwy
Ste 94
Alpharetta, GA 30022
Phone (470) 767-8287

Practitioners & affiliated clinicians

Practitioners 1

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": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1386005197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY",
            "address_2": "STE 94",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221150",
            "telephone_number": "470-767-8287",
            "fax_number": "470-349-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY",
            "address_2": "STE 94",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221150",
            "telephone_number": "470-767-8287",
            "fax_number": "470-349-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF NORTH ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANAND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "706-389-5060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "063220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.