Jonathan Woolfson, MD, PC
Organization Active NPI Ophthalmology Physician · Jasper, GA
NPI 1508196601 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1508196601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Jonathan M Woolfson, M.D.
- Title
- Ceo
- Phone
- (770) 804-1684
Other NPIs on the same Medicare enrollment 12
Corporate family (same tax ID) 14
Practitioners 5
-
Steven I Leff, M.D.
-
Mark J Weiner, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
- Tax ID family
- Jonathan Woolfson MD PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
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
Other providers in Jasper, GA
- Jasper Surgery Center LLC
- Suzy Jo
- John Mauldin PHD LLC
- Sheila R Johnson
- Steven Horace Johnson II
- Atura Jordan
- Tevin Joseph
- Jane Jurma
- Jeffrey I Kalish
- Verner Terrell Keeling
All providers in Jasper, GA · Ophthalmology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.