Individual provider Active NPI

Julius Nathaniel Skeete, O.D.

  • Optometrist
  • Peachtree Corners, GA
National Provider Identifier
1609088343
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001589 Issued in GA
Practice address
5151 Peachtree Parkway
Suite 700
Peachtree Corners, GA 30092
Phone
(770) 623-8564
Fax
(770) 441-1237
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1650 NC
Optometrist 152W00000X T005074 NY
Optometrist 152W00000X 005074 NY
Optometrist 152W00000X 001589 GA Primary

Addresses

Primary practice location

5151 Peachtree Parkway
Suite 700
Peachtree Corners, GA 30092

Mailing address

5151 Peachtree Parkway
Suite 700
Peachtree Corners, GA 30092
Phone (770) 623-8564

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130913000774 GA Practitioner - Optometry 8729222609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Dr Skeete and Associates of North Georgia PCGroup PAC ID 9234403320, 2 clinicians

Practice addresses (Care Compare)

150 Pearl Nix Pkwy
D3A
Gainesville, GA 30501-3548
Phone (770) 287-1623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001589GAMDOptometrist
1650NCMDOptometrist
005074NYMDOptometrist
T005074NYMDOptometrist
1589GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Skeete & Associates of North Georgia, P.C. Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Luxottica of America Inc PastSince May 31, 2017 Accepting new patients

Locations

150 Pearl Nix Pkwy
Ste D3A
Gainesville, GA 30501
Phone (770) 287-1623

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609088343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 PEACHTREE PARKWAY",
            "address_2": "SUITE 700",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "770-623-8564",
            "fax_number": "770-441-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 PEACHTREE PARKWAY",
            "address_2": "SUITE 700",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "770-623-8564",
            "fax_number": "770-441-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEETE",
        "first_name": "JULIUS",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1650",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005074",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005074",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

Verify at the official NPI Registry.