Gainesville Eye Associates LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

GAINESVILLE EYE ASSOCIATES LLC

Practice address

1485 Jesse Jewell Pkwy NE Ste 100
Gainesville, GA 30501-3802

Phone

(770) 534-1711

Fax

(770) 534-9158

NPI assigned

Sep 15, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Candice B Davis

Title

Chief Revenue Cycle Officer

Phone

(916) 990-7590

Specialties & licenses 1

Addresses

Other names 1

• North Georgia Eye Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

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

• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Gainesville, GA
  • NPI 1285617647

  2860486438

  Same PAC ID
• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Braselton, GA
  • NPI 1821875774

  2860486438

  Same PAC ID
• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Cumming, GA
  • NPI 1922885862

  2860486438

  Same PAC ID
• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Dacula, GA
  • NPI 1952188898

  2860486438

  Same PAC ID

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Gainesville Eye Associates LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Gainesville, GA
  • NPI 1285617647
  NPD tax ID
• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Braselton, GA
  • NPI 1821875774
  NPD tax ID
• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Cumming, GA
  • NPI 1922885862
  NPD tax ID
• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Dacula, GA
  • NPI 1952188898
  NPD tax ID

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1629856240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392938",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 JESSE JEWELL PKWY NE STE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013802",
            "telephone_number": "770-534-1711",
            "fax_number": "770-534-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-13",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Georgia Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gainesville Health and Wellness Pharmacy
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• Ophthalmology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.