Jing Dong M.D. P.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

045447 Issued in GA

Legal business name

JING DONG M.D. P.C.

Doing business as

Georgia Center for Sight

Practice address

651 S Milledge Ave
Athens, GA 30605-1250

Phone

(706) 546-9290

Fax

(706) 546-4938

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Candice B Davis

Title

Chief Revenue Cycle Officer

Phone

(916) 990-7590

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Georgia Center for Sight Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jing Dong MD PC

  dba Georgia Center for Sight

  • Optometrist
  • Greensboro, GA
  • NPI 1164833380

  7113935511

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Jing Dong M.D. P.C.

  dba Georgia Center for Sight

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1245257757

  O20060327000583

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Andrew Berk, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Atlanta, GA
  • NPI 1811586621
  Medicare reassignment Care Compare group NPD
• Jing Dong, MD PHD

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1356341119
  Medicare reassignment Care Compare group NPD
• Brandy Hobbs Flood

  • Optometrist
  • Lavonia, GA
  • NPI 1124204813
  Medicare reassignment Care Compare group NPD
• James Quinten Tuckfield, DO

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1003443938
  Medicare reassignment Care Compare group NPD
• Onyale Warnock, OD

  • Optometrist
  • Athens, GA
  • NPI 1952038903
  Medicare reassignment Care Compare group NPD
• Rajesh Rangaraj, MD

  • Ophthalmology Physician
  • Marietta, GA
  • NPI 1528079878
  Medicare reassignment NPD
• Alexa Reane Arencibia, OD

  • Optometrist
  • Clayton, GA
  • NPI 1164154324
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1578729075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 SOUTH MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30605",
            "telephone_number": "706-546-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051250",
            "telephone_number": "706-546-9290",
            "fax_number": "706-546-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 S McIntosh St",
            "address_purpose": "LOCATION",
            "city": "Elberton",
            "state": "GA",
            "postal_code": "306352465",
            "country_code": "US",
            "telephone_number": "706-283-7510",
            "fax_number": "706-283-7570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Commerce Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306427444",
            "country_code": "US",
            "telephone_number": "706-453-1922",
            "fax_number": "706-453-1926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12877 Jones Street",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Lavonia",
            "state": "GA",
            "postal_code": "305534271",
            "country_code": "US",
            "telephone_number": "706-356-0575",
            "fax_number": "706-356-0579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JING DONG M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "916-990-7590"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "045447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649681768",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164833380",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578729075",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5755300002",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000791568H",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5755300003",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Center for Sight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Parker
• Anna Catherine Jessup
• Sussnna Jesweak, RN
• Vinod Jeyaretnam, DO
• Jing Dong M.D. P.C. (Georgia Center for Sight)
• JMS Counseling LLC
• JNC Anesthesia, LLC
• John F. Elder MD PC
• John P. Gale DMD, PC
• Rebecca John, LPN

• Eyewear Supplier in Athens, GA
• Providers in Athens, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.