Individual provider Active NPI

Gregory Scott Williamson, O.D.

  • Optometrist
  • Tyrone, GA
National Provider Identifier
1467510545
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001221 Issued in GA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00425972BMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000936 GA Practitioner - Optometry 8022281260 Reassigns benefits to 3 organizations

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
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

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

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001221GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
G. Scott Williamson O.D., P.C. Optometrist CurrentSince Jul 1, 1966 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Jul 28, 2025 Accepting new patients
Williamson Eye Professionals P.C. Optometrist CurrentSince Jul 17, 2020 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Jul 28, 2025 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.

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

Verify at the official NPI Registry.