Individual provider Active NPI

Stephen N Lipsky, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Peachtree Corners, GA
National Provider Identifier
1477550895
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
42863 Issued in GA
Practice address
5185 Peachtree Pkwy Ste 350
Peachtree Corners, GA 30092-6545
Phone
(770) 858-5437
Fax
(770) 796-0298
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 048263 GA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 42863 GA Primary

Addresses

Primary practice location

5185 Peachtree Pkwy Ste 350
Peachtree Corners, GA 30092-6545

Mailing address

5185 Peachtree Pkwy Ste 350
Peachtree Corners, GA 30092-6545
Phone (770) 858-5437

Other practice location 1

5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone (404) 256-9600

Other identifiers 11

IdentifierTypeStateIssuer
2426629OtherGAAETNA HMO
797524OtherGABCBS
977525OtherGABCBS
003228451AMedicaidGA
34619OtherGACOVENTRY PPO
7596169OtherGAAETNA
977200OtherGABCBS
0800220OtherGAUHC
74202OtherGACOVENTRY HMO
180038347OtherGARR MEDICARE
582209517OtherGAWORK COMP

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000864 GA Practitioner - Ophthalmology 4284627522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Eye Care and Surgery of Georgia PC 3 clinicians

Practice addresses (Care Compare)

5185 Peachtree Pkwy
Suite 350
Peachtree Corners, GA 30092-6545
Phone (770) 858-5437

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42863GAMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Eye Care and Surgery of Georgia PC Pediatric Ophthalmology and Strabismus Specialist CurrentSince Dec 8, 2019 Accepting new patients

Locations

5185 Peachtree Pkwy
Ste 350
Peachtree Corners, GA 30092
Phone (770) 840-1966

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: stephen.lipsky.p1@direct.cecsg.nextgenshare.com
  • Direct secure messaging: slipsky5306@choa.gadirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1477550895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY STE 350",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300926545",
            "telephone_number": "770-858-5437",
            "fax_number": "770-796-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY STE 350",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300926545",
            "telephone_number": "770-858-5437",
            "fax_number": "770-796-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5995 Barfield Rd",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303284411",
            "country_code": "US",
            "telephone_number": "404-256-9600",
            "fax_number": "404-250-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSKY",
        "first_name": "STEPHEN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "048263",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "GA",
            "license": "42863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2426629",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "797524",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "977525",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003228451A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY PPO",
            "identifier": "34619",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7596169",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "977200",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0800220",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HMO",
            "identifier": "74202",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180038347",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "582209517",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

Verify at the official NPI Registry.