Ophthalmology and Retina Associates of Georgia LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OPHTHALMOLOGY AND RETINA ASSOCIATES OF GEORGIA LLC

Practice address

5185 Peachtree Pkwy Ste 365
Peachtree Corners, GA 30092-6542

Phone

(404) 777-2020

Fax

(404) 777-7701

NPI assigned

May 18, 2021

Last updated

May 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Purnima Sharad Patel, MDNPI 1316124183

Title

Owner

Phone

(404) 777-2020

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Purnima Sharad Patel, MD

  • Ophthalmology Physician
  • Peachtree Corners, GA
  • NPI 1316124183
  Medicare reassignment Care Compare group NPD Authorized official
• Rachel Shah

  • Retina Specialist (Ophthalmology) Physician
  • Detroit, MI
  • NPI 1598183972

  GA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1386218915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 MONROE DR NE STE F242",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245039",
            "telephone_number": "404-777-2020",
            "fax_number": "404-777-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY STE 365",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300926542",
            "telephone_number": "404-777-2020",
            "fax_number": "404-777-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY AND RETINA ASSOCIATES OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PURNIMA",
        "authorized_official_middle_name": "SHARAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-777-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.