Individual provider Active NPI

Daniel Oh, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Atlanta, GA
National Provider Identifier
1619324555
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
90900 Issued in GA
Practice address
1100 Johnson Fy Rd NE Ste 593
Atlanta, GA 30342-1733
Phone
(404) 255-9096
NPI assigned
May 20, 2016
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 90900 GA Primary

Addresses

Primary practice location

1100 Johnson Fy Rd NE Ste 593
Atlanta, GA 30342-1733

Mailing address

833 Campbell Hill St NW Ste 300
Marietta, GA 30060-1137
Phone (770) 218-1888

Other practice location 1

990 Sanders Rd Ste 100
Cumming, GA 30041-5960
Phone (678) 679-4830

Other practice location 2

100 Market Place Blvd Ste 304
Cartersville, GA 30121-8717
Phone (470) 274-2030

Other practice location 3

833 Campbell Hill St NW Ste 300
Marietta, GA 30060-1137
Phone (770) 218-1888

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614000996 GA Practitioner - Ophthalmology 4284929001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Retina, PCGroup PAC ID 1254328248, 23 clinicians

Practice addresses (Care Compare)

100 Market Place Blvd
Suite 304
Cartersville, GA 30121-8717
Phone (470) 274-2030

575 Professional Dr
Suite 330
Lawrenceville, GA 30045-3300
Phone (678) 405-0922

990 Sanders Rd
Suite 100
Cumming, GA 30041-5960
Phone (678) 679-4830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
302775NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Retina, PC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jan 25, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology Past Accepting new patients
Piedmont Medical Care Corporation PastSince Aug 7, 2022 Accepting new patients

Locations

1255 Friendship Rd
Ste 160
Braselton, GA 30517
Phone (678) 528-1101

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

100 Market Place Blvd
Ste 304
Cartersville, GA 30121
Phone (470) 274-2030

1835 Savoy Dr
Ste 100
Chamblee, GA 30341
Phone (678) 298-9484

990 Sanders Rd
#100
Cumming, GA 30041
Phone (678) 679-4830

6095 Professional Pkwy
Ste B102
Douglasville, GA 30134
Phone (678) 303-0136

1488 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (404) 875-9011

575 Professional Dr
Ste 330
Lawrenceville, GA 30046
Phone (404) 255-9096

6055 Lakeside Commons Dr
Ste 310
Macon, GA 31210
Phone (478) 238-9733

833 Campbell Hill St NW
Ste 300
Marietta, GA 30060
Phone (770) 218-1888

403 Westpark Ct
Ste 110
Peachtree Cty, GA 30269
Phone (770) 486-1633

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1100 Johnson Fy Rd NE
Ste 593
Sandy Springs, GA 30342
Phone (404) 255-9096

350 Country Club Dr
Ste A
Stockbridge, GA 30281
Phone (770) 692-4000

1462 Montreal Rd
Ste 412
Tucker, GA 30084
Phone (770) 396-2496

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • Direct secure messaging: doh@garetina.intellechartdirect.net
  • Direct secure messaging: doh1358889@nychhc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1619324555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601137",
            "telephone_number": "770-218-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FY RD NE STE 593",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421733",
            "telephone_number": "404-255-9096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Sanders Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300415960",
            "country_code": "US",
            "telephone_number": "678-679-4830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Market Place Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301218717",
            "country_code": "US",
            "telephone_number": "470-274-2030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Campbell Hill St NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601137",
            "country_code": "US",
            "telephone_number": "770-218-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "GA",
            "license": "90900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.