Individual provider Active NPI

Georgina Maria Medina Agramonte, MD

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1679078083
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD210012408 Issued in DC
Practice address
4301 Connecticut Ave NW Ste 125
Washington, DC 20008-2332
Phone
(301) 896-0890
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0098211 MD
Ophthalmology Physician 207W00000X MD210012408 DC Primary

Addresses

Primary practice location

4301 Connecticut Ave NW Ste 125
Washington, DC 20008-2332

Mailing address

11300 Rockville Pike Ste 1202
Rockville, MD 20852-3040
Phone (301) 896-0890

Other practice location 1

110 Irving St NW Dept Of
Washington, DC 20010-3017
Phone (202) 877-8278

Other practice location 2

11300 Rockville Pike Ste 1202
Rockville, MD 20852-3040
Phone (301) 896-0890

Other names 1

  • Dr. Georgina Medina Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231116002591 DC Practitioner - Ophthalmology 0244606010 Reassigns benefits to 1 organization
I20260409000171 PR Practitioner - Ophthalmology 0244606010 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University Central del Caribe Escuela de Medicina, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionary Ophthalmology LLCGroup PAC ID 4587795687, 17 clinicians

Practice addresses (Care Compare)

4301 Connecticut Ave NW
Suite 125
Washington, DC 20008-2332
Phone 3018960890148

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Feb 18, 2025 Accepting new patients
Visionary Ophthalmology LLC Ophthalmology CurrentSince Oct 1, 2023 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Feb 18, 2025 Accepting new patients
The Emory Clinic Inc CurrentSince Jul 15, 2022 Accepting new patients

Locations

4301 Connecticut Ave NW
Ste 125
Washington, DC 20008
Phone (202) 362-4545

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

811 Russell Ave
Gaithersburg, MD 20879
Phone (301) 585-2225

11300 Rockville Pike
Ste 1202
Rockville, MD 20852
Phone (301) 896-0890

Interoperability endpoints

  • Direct secure messaging: gmedina@voeyedr.emadirect.md

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 and National Provider Directory roles.

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1679078083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE STE 1202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523040",
            "telephone_number": "301-896-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 CONNECTICUT AVE NW STE 125",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082332",
            "telephone_number": "301-896-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW Dept Of",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-8278",
            "fax_number": "202-877-6292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11300 Rockville Pike Ste 1202",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208523040",
            "country_code": "US",
            "telephone_number": "301-896-0890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA AGRAMONTE",
        "first_name": "GEORGINA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0098211",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD210012408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGINA",
            "last_name": "MEDINA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.