NPIMap

Organization Active NPI

Jonathan Woolfson, MD, PC

  • Ophthalmology Physician
  • Jasper, GA
National Provider Identifier
1508196601
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JONATHAN WOOLFSON, MD, PC
Practice address
150 Interstate South Dr
Suite 200
Jasper, GA 30143-6211
Phone
(706) 253-2267
Fax
(678) 454-7331
NPI assigned
Jan 12, 2010
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dr. Jonathan M Woolfson, M.D.NPI 1528154465
Title
Ceo
Phone
(770) 804-1684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

150 Interstate South Dr
Suite 200
Jasper, GA 30143-6211

Mailing address

PO Box 63174
Charlotte, NC 28263-3174
Phone (770) 804-1684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505000641 GA Part B Supplier - Clinic/Group Practice 8426046665 Receives reassigned benefits from 34 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Douglasville, GA; Tyrone, GA; Stockbridge, GA; Snellville, GA; Roswell, GA; Peachtree City, GA; Marietta, GA; Lawrenceville, GA…

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jonathan Woolfson MD PC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1508196601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63174",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633174",
            "telephone_number": "770-804-1684",
            "fax_number": "770-516-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 INTERSTATE SOUTH DR",
            "address_2": "SUITE 200",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301436211",
            "telephone_number": "706-253-2267",
            "fax_number": "678-454-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN WOOLFSON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "WOOLFSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-804-1684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.