Active NPI
Retina Associates of Middle Georgia
- Ophthalmology Physician
- Macon, GA
National Provider Identifier
1669526273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RETINA ASSOCIATES OF MIDDLE GEORGIA
- Practice address
- 160 Water Tower Court
Macon, GA 31210 - Phone
- (478) 757-8806
- Fax
- (478) 757-8667
- NPI assigned
- Jan 22, 2007
- Last updated
- Nov 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Norman C. Nelson Jr., M.D.
- Title
- Partner
- Phone
- (478) 757-8806
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
160 Water Tower Court
Macon, GA 31210
Mailing address
160 Water Tower Court
Macon, GA 31210
Phone (478) 757-8806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Macon, GA
- NPI 1518995810
-
- Ophthalmology Physician
- Macon, GA
- NPI 1295763530
-
- Retina Specialist (Ophthalmology) Physician
- Macon, GA
- NPI 1447461769
-
- Ophthalmology Physician
- Riverdale, GA
- NPI 1720022155
-
- Retina Specialist (Ophthalmology) Physician
- Macon, GA
- NPI 1093380867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510099200000",
"number": "1669526273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WATER TOWER COURT",
"city": "MACON",
"state": "GA",
"postal_code": "31210",
"telephone_number": "478-757-8806",
"fax_number": "478-757-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 WATER TOWER COURT",
"city": "MACON",
"state": "GA",
"postal_code": "31210",
"telephone_number": "478-757-8806",
"fax_number": "478-757-8667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA ASSOCIATES OF MIDDLE GEORGIA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2017-11-08",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "NORMAN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "478-757-8806",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.