Georgia Vision Institute

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

GEORGIA VISION INSTITUTE

Practice address

158 Clinic Ave
Suite a
Carrollton, GA 30117-4414

Phone

(770) 834-1008

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

G. Keith Berry, MD

Title

President

Phone

(770) 834-1008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Georgia Vision Institute

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, GA
  • NPI 1104849124

  4880962091

  Same PAC ID

Tax ID family

Georgia Vision Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Georgia Vision Institute

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, GA
  • NPI 1104849124
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: centrekin@georgiavision.intellechartdirect.net
• Direct secure messaging: kstewart@georgiavision.intellechartdirect.net
• Direct secure messaging: jjohnson@georgiavision.intellechartdirect.net

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garland Keith Berry, M.D.

  • Ophthalmology Physician
  • Carrollton, GA
  • NPI 1275597296
  Medicare reassignment Care Compare group NPD
• Cynthia Rose Entrekin, OD

  • Optometrist
  • Villa Rica, GA
  • NPI 1629701818
  Medicare reassignment Care Compare group NPD
• David S Hemmings, M.D.

  • Ophthalmology Physician
  • Douglasville, GA
  • NPI 1376549469
  Medicare reassignment Care Compare group NPD
• Kellie Stewart, O.D.

  • Optometrist
  • Atlanta, GA
  • NPI 1972896967
  Medicare reassignment Care Compare group NPD
• John William Thomas, M.D.

  • Ophthalmology Physician
  • Decatur, GA
  • NPI 1811998594
  Medicare reassignment Care Compare group NPD
• John Weathers Jr., OD

  • Optometrist
  • Cumming, GA
  • NPI 1790134021
  Medicare reassignment Care Compare group NPD
• Lauren West Yancey, M.D.

  • Ophthalmology Physician
  • Carrollton, GA
  • NPI 1386872950
  Medicare reassignment Care Compare group NPD
• Mark Richard Ortiz, OD

  • Optometrist
  • Birmingham, AL
  • NPI 1487183927

  GA

  Medicare reassignment Care Compare group NPD
• Joseph H Johnson, OD

  • Optometrist
  • Boise, ID
  • NPI 1114418480

  GA

  Medicare reassignment NPD
• Joseph A Johnson, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Atlanta, GA
  • NPI 1013137934
  NPD

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1689100109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CLINIC AVE",
            "address_2": "SUITE A",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174414",
            "telephone_number": "770-834-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CLINIC AVE",
            "address_2": "SUITE A",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174414",
            "telephone_number": "770-834-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA VISION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-834-1008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia CVS Pharmacy LLC
• Georgia CVS Pharmacy, L.L.C.
• Georgia Interventional Pain - H, LLC
• Georgia Pain and Wellness Center, LLC
• Georgia Vision Institute
• Gabriel Gherman, PHARM D
• Ophelia P Gherman, M.D.
• Martha Krickel Gibbs, NP
• Sarah Colleen Gibbs, MS-CCC SLP
• Charlotte Gibson

• Ophthalmology Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.