Active NPI
Gregory Scott Williamson, O.D.
- Optometrist
- Tyrone, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 001221
- Practice address
- 179 Handley Rd
Suite C
Tyrone, GA 30290-2154 - Phone
- (770) 486-1020
- Fax
- (770) 486-1280
- NPI assigned
- Dec 4, 2006
- Last updated
- Oct 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 001221 | GA | Primary |
Addresses
Primary practice location
179 Handley Rd
Suite C
Tyrone, GA 30290-2154
Mailing address
179 Handley Rd
Suite C
Tyrone, GA 30290-2154
Phone (770) 486-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00425972B | Medicaid | GA |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
179 Handley Rd
Suite C
Tyrone, GA 30290-2152
Phone (770) 486-1020
4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001221 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G. Scott Williamson O.D., P.C. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Williamson Eye Professionals P.C. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
Locations
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
1044 Avalon Pkwy
McDonough, GA 30253
Phone (770) 898-7078
100 N Peachtree Pkwy
Ste 1
Peachtree Cty, GA 30269
Phone (770) 487-8900
40 Fischer Crossings Dr
Sharpsburg, GA 30277
Phone (678) 621-8604
179 Handley Rd
Ste C
Tyrone, GA 30290
Phone (770) 486-1020
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 6
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.
-
- Optometrist
- Sharpsburg, GA
- NPI 1326694019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1467510545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 HANDLEY RD",
"address_2": "SUITE C",
"city": "TYRONE",
"state": "GA",
"postal_code": "302902154",
"telephone_number": "770-486-1020",
"fax_number": "770-486-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 HANDLEY RD",
"address_2": "SUITE C",
"city": "TYRONE",
"state": "GA",
"postal_code": "302902154",
"telephone_number": "770-486-1020",
"fax_number": "770-486-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "001221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00425972B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.