Individual provider Active NPI

Sameerah Alkhairy Ali, MD

  • Ophthalmology Physician
  • Atlanta, GA
National Provider Identifier
1679061261
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
99939 Issued in GA
Practice address
800 Mount Vernon Hwy NE Ste 130
Atlanta, GA 30328-4293
Phone
(404) 256-1125
NPI assigned
Apr 29, 2018
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X 4301506658 MI
Ophthalmology Physician 207W00000X 99939 GA Primary

Addresses

Primary practice location

800 Mount Vernon Hwy NE Ste 130
Atlanta, GA 30328-4293

Mailing address

800 Mount Vernon Hwy NE Ste 130
Atlanta, GA 30328-4293

Other practice location 1

1000 Wall St
Ann Arbor, MI 48105-1912
Phone (734) 764-4190

Other practice location 2

1801 N Senate Ave
Indianapolis, IN 46202
Phone (260) 409-2534

Other names 1

  • Sameerah Alkhairy Former name

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
I20240709000810 GA Practitioner - Ophthalmology 9032465471 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milan Eye LLCGroup PAC ID 2668519109, 21 clinicians

Practice addresses (Care Compare)

1034 Haw Creek Cir
Suite 100
Cumming, GA 30041-6513
Phone (678) 381-2020

11315 Johns Creek Pkwy
Suite 300
Johns Creek, GA 30097-1517
Phone (678) 381-2020

73 Prestige LN
Suite 201
Dawsonville, GA 30534-6371
Phone (678) 381-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99939GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buford Eye Surgery Center CurrentSince Jan 29, 2026 Accepting new patients
Forsyth Eye Surgery Center, LLC CurrentSince May 1, 2025 Accepting new patients
Jonathan Woolfson, MD, PC Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients
Milan Eye LLC Ophthalmology CurrentSince May 1, 2025 Accepting new patients

Locations

1995 Mall of Georgia Blvd
Ste C
Buford, GA 30519
Phone 67838120201022

73 Prestige Ln
Ste 201
Dawsonville, GA 30534

800 Mount Vernon Hwy NE
Ste 100
Sandy Springs, GA 30328
Phone (404) 237-1770

800 Mount Vernon Hwy NE
Ste 125
Sandy Springs, GA 30328
Phone (404) 256-1125

800 Mount Vernon Hwy NE
Ste 130
Sandy Springs, GA 30328
Phone (404) 237-1770

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

1300 Peachtree Industrial
Dallas, TX 75373

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.

NPI Registry JSON

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1679061261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284293",
            "telephone_number": "404-256-1125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Wall St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481051912",
            "country_code": "US",
            "telephone_number": "734-764-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 N Senate Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46202",
            "country_code": "US",
            "telephone_number": "260-409-2534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "SAMEERAH",
        "middle_name": "ALKHAIRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301506658",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "99939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMEERAH",
            "last_name": "ALKHAIRY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.