Individual provider Active NPI

Emory Garrett Patterson, M.D.

  • Ophthalmology Physician
  • Athens, GA
National Provider Identifier
1477750867
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
63792 Issued in GA
Practice address
105 Trinity PL
Athens, GA 30607-2112
Phone
(706) 549-9993
Fax
(706) 549-4047
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 63792 GA
Ophthalmology Physician 207W00000X 63792 GA Primary

Addresses

Primary practice location

105 Trinity PL
Athens, GA 30607-2112

Mailing address

105 Trinity PL
Athens, GA 30607-2112
Phone (706) 549-9993

Other identifiers 2

IdentifierTypeStateIssuer
63792OtherGAGEORGIA COMPOSITE MEDICAL BOARD
P00131029OtherGARAILROAD RETIREMENT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DIRECT@athenseyedoctorssurgeonsathensga.compulinkdirect.com Health Information Exchange (HIE)

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
I20110630000508 GA Practitioner - Ophthalmology 3072791680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keller, Crymes, and Demarco LLCGroup PAC ID 3971591132, 10 clinicians

Practice addresses (Care Compare)

105 Trinity PL
Athens, GA 30607-2112
Phone (706) 549-9993

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.59 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery471

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keller, Crymes, & Demarco LLC Ophthalmology CurrentSince May 19, 2014 Accepting new patients
Keller Crymes & Demarco LLC CurrentSince May 19, 2014 Accepting new patients
Anesthesia Consultants of Athens PastSince May 19, 2014 Accepting new patients

Locations

105 Trinity Pl
Athens, GA 30607
Phone (706) 433-2035

105 Trinity Pl
Ste B
Athens, GA 30607

1115 S Elm St
Commerce, GA 30529
Phone (706) 335-5139

Interoperability endpoints

  • Direct secure messaging: direct@athenseyedoctorssurgeonsathensga.compulinkdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1477750867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072112",
            "telephone_number": "706-549-9993",
            "fax_number": "706-549-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072112",
            "telephone_number": "706-549-9993",
            "fax_number": "706-549-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "EMORY",
        "middle_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "63792",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "63792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMPOSITE MEDICAL BOARD",
            "identifier": "63792",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "P00131029",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DIRECT@athenseyedoctorssurgeonsathensga.compulinkdirect.com",
            "affiliation": "N",
            "endpointDescription": "CCD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Trinity Pl",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306072112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.