Individual provider Active NPI

John Edwin Imhoff, MD

  • Ophthalmology Physician
  • Brunswick, GA
National Provider Identifier
1669480513
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
023995 Issued in GA
Practice address
3215 Shrine Rd
Ste 6
Brunswick, GA 31520
Phone
(912) 267-0565
Fax
(912) 267-0545
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 023995 GA Primary

Addresses

Primary practice location

3215 Shrine Rd
Ste 6
Brunswick, GA 31520

Mailing address

3215 Shrine Rd
Ste 6
Brunswick, GA 31520
Phone (912) 267-0565

Other identifiers 2

IdentifierTypeStateIssuer
180001611OtherMED RR
00270971AMedicaidGA

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
I20111206000504 GA Practitioner - Ophthalmology 8527157577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John E Imhoff MD PCGroup PAC ID 0749278943, 4 clinicians

Practice addresses (Care Compare)

3215 Shrine Rd
Suite 6
Brunswick, GA 31520-4300
Phone (912) 267-0565

Merit-based Incentive Payment System (MIPS)

Final score
93.11 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
77.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery498

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John E Imhoff MD PC Ophthalmology CurrentSince Jul 1, 1966 Accepting new patients
Florida Retina Institute James a Staman MD LLC Ophthalmology Past Accepting new patients
Southeast Eye Laser Surgery Center PastSince Mar 15, 2021 Accepting new patients

Locations

3215 Shrine Rd
Ste 6
Brunswick, GA 31520
Phone (912) 267-0565

306 Radcliffe Ave
Douglas, GA 31533

742 S 1st St
Jesup, GA 31545

775 Kingsbay Rd
Ste C
Saint Marys, GA 31558
Phone (912) 729-6111

214 Savannah Ave
Statesboro, GA 30458
Phone (912) 764-5609

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

304 Riverside Dr
Waycross, GA 31501
Phone (912) 283-1400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.imhoff.p1@direct.see.nextgenshare.com

Organizations & group practices 3

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669480513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 SHRINE RD",
            "address_2": "STE 6",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31520",
            "telephone_number": "912-267-0565",
            "fax_number": "912-267-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 SHRINE RD",
            "address_2": "STE 6",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31520",
            "telephone_number": "912-267-0565",
            "fax_number": "912-267-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMHOFF",
        "first_name": "JOHN",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "023995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED RR",
            "identifier": "180001611",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00270971A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.