Active NPI
Stephen N Lipsky, M.D.
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Peachtree Corners, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- License
- 42863
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2426629 | Other | GA | AETNA HMO |
| 797524 | Other | GA | BCBS |
| 977525 | Other | GA | BCBS |
| 003228451A | Medicaid | GA | |
| 34619 | Other | GA | COVENTRY PPO |
| 7596169 | Other | GA | AETNA |
| 977200 | Other | GA | BCBS |
| 0800220 | Other | GA | UHC |
| 74202 | Other | GA | COVENTRY HMO |
| 180038347 | Other | GA | RR MEDICARE |
| 582209517 | Other | GA | WORK 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
5185 Peachtree Pkwy
Suite 350
Peachtree Corners, GA 30092-6545
Phone (770) 858-5437
Hospital & facility affiliations
- Northside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42863 | GA | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Eye Care and Surgery of Georgia PC | Pediatric Ophthalmology and Strabismus Specialist | Current | Accepting new patients |
Locations
5185 Peachtree Pkwy
Ste 350
Peachtree Corners, GA 30092
Phone (770) 840-1966
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- stephen.lipsky.p1@direct.cecsg.nextgenshare.com
- 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.
-
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Peachtree Corners, GA
- NPI 1124662945
GA, Pediatric Ophthalmology and Strabismus Specialist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.