Individual provider Active NPI

Jason K Gabrels, OD

  • Optometrist
  • Gainesville, GA
National Provider Identifier
1679666747
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1842 Issued in GA
Practice address
1681 Thompson Bridge Rd
Gainesville, GA 30501-1715
Phone
(770) 532-0532
Fax
(770) 532-0393
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1842 GA Primary

Addresses

Primary practice location

1681 Thompson Bridge Rd
Gainesville, GA 30501-1715

Mailing address

1681 Thompson Bridge Rd
Gainesville, GA 30501-1715
Phone (770) 532-0532

Other identifiers 2

IdentifierTypeStateIssuer
582554268OtherGAOTHER COMMERCIAL PAYORS
000873232AMedicaidGA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503000517 GA Practitioner - Optometry 1456349224 Reassigns benefits to 1 organization
Practice locations: Gainesville, GA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville Eye Associates LLCGroup PAC ID 2860486438, 20 clinicians

Practice addresses (Care Compare)

1230 Bald Ridge Marina Rd
Suite 100
Cumming, GA 30041-7950
Phone (770) 292-1999

2061 Beverly Rd
Gainesville, GA 30501-2034
Phone (770) 532-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1842GAMDOptometrist
001842GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Associates LLC Optometrist CurrentSince May 1, 2023 Accepting new patients
Gainesville Eye Associates LLC Optometrist CurrentSince May 1, 2023 Accepting new patients
Eye Site of Gainesville, Inc. Optometrist Past Accepting new patients
Southeast Eye Surgery Center, PC Past Accepting new patients

Locations

1230 Bald Ridge Marina Rd
Ste 100
Cumming, GA 30041
Phone (770) 292-1999

1230 Bald Ridge Marina Rd
Cumming, GA 30041
Phone (770) 292-1999

2061 Beverly Rd
Gainesville, GA 30501
Phone (706) 867-4116

1485 Jesse Jewell Pkwy NE
Ste 100
Gainesville, GA 30501
Phone (770) 292-1999

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jgabrels@esp.intellechartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1679666747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 THOMPSON BRIDGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011715",
            "telephone_number": "770-532-0532",
            "fax_number": "770-532-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 THOMPSON BRIDGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011715",
            "telephone_number": "770-532-0532",
            "fax_number": "770-532-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRELS",
        "first_name": "JASON",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER COMMERCIAL PAYORS",
            "identifier": "582554268",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000873232A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.