Active NPI
Elizabeth P Covington, O.D.
- Optometrist
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002540
- Practice address
- 217 Riverstone Dr
Canton, GA 30114-5256 - Phone
- (770) 345-5220
- Fax
- (770) 479-5011
- NPI assigned
- Aug 6, 2009
- Sex
- Female
- 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 | OPT002540 | GA | Primary |
Addresses
Primary practice location
217 Riverstone Dr
Canton, GA 30114-5256
Mailing address
1950 Old Gallows Rd
Suite 520
Vienna, VA 22182-3990
Phone (703) 847-8899
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285892935 | Other | GA | CANTON NPI |
| 1871745604 | Other | GA | ROSWELL NPI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090922000153 | GA | Practitioner - Optometry | 9830245505 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Myeyedr Optometry of Georgia, LLC
Practice addresses (Care Compare)
1415 Wooten Lake Rd NW
Suite 100
Kennesaw, GA 30144-1342
Phone (770) 424-2020
4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010
6121 Cedarcrest Rd NW
Suite 108
Acworth, GA 30101-4205
Phone (770) 529-7789
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT002540 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | 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 | Current | Accepting new patients |
| Total Eyecare, PC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
Locations
6121 Cedarcrest Rd NW
#108
Acworth, GA 30101
Phone (770) 529-7789
3975 Old Milton Pkwy
Ste 2
Alpharetta, GA 30005
Phone (678) 624-7766
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
1409 Sixes Rd
Canton, GA 30114
Phone (770) 852-2733
217 Riverstone Dr
Canton, GA 30114
Phone (770) 345-5220
123 W Main St
#A
Cartersville, GA 30120
Phone (470) 888-2044
1415 Wooten Lake Rd NW
Ste 100
Kennesaw, GA 30144
Phone (770) 424-2020
250 E Crossville Rd
Roswell, GA 30075
Phone (770) 720-4449
9801 Highway 92
Ste 100
Woodstock, GA 30188
Phone (770) 592-7100
12924 Highway 92
Ste 100
Woodstock, GA 30188
Phone (678) 717-9121
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 13
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.
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- NPI 1972021194
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1497986517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD",
"address_2": "SUITE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823990",
"telephone_number": "703-847-8899",
"fax_number": "703-991-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 RIVERSTONE DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301145256",
"telephone_number": "770-345-5220",
"fax_number": "770-479-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVINGTON",
"first_name": "ELIZABETH",
"middle_name": "P",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-06",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CANTON NPI",
"identifier": "1285892935",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROSWELL NPI",
"identifier": "1871745604",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.