Individual provider Active NPI

Brent Michael Crymes, MD

  • Ophthalmology Physician
  • Athens, GA
National Provider Identifier
1699729103
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
032539 Issued in GA
Practice address
105 Trinity PL
Athens, GA 30607-2112
Phone
(706) 549-9993
Fax
(706) 549-4047
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 032539 GA Primary

Addresses

Primary practice location

105 Trinity PL
Athens, GA 30607-2112

Mailing address

105 Trinity PL
Athens, GA 30607-2112
Phone (706) 549-9993

Other identifiers 1

IdentifierTypeStateIssuer
00435971BMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DIRECT@athenseyedoctorssurgeonsathensga.compulinkdirect.com Health Information Exchange (HIE)

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
I20100811000021 GA Practitioner - Ophthalmology 9133253313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.59 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032539GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keller Crymes & Demarco LLC CurrentSince Jun 23, 2002 Accepting new patients
Keller, Crymes, & Demarco LLC Ophthalmology CurrentSince Jun 23, 2002 Accepting new patients

Locations

105 Trinity Pl
Athens, GA 30607
Phone (706) 433-2035

1115 S Elm St
Commerce, GA 30529
Phone (706) 335-5139

Interoperability endpoints

  • Direct secure messaging: direct@athenseyedoctorssurgeonsathensga.compulinkdirect.com

Organizations & group practices 2

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1699729103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072112",
            "telephone_number": "706-549-9993",
            "fax_number": "706-549-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072112",
            "telephone_number": "706-549-9993",
            "fax_number": "706-549-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYMES",
        "first_name": "BRENT",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "032539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00435971B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DIRECT@athenseyedoctorssurgeonsathensga.compulinkdirect.com",
            "affiliation": "N",
            "endpointDescription": "CCD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Trinity Pl",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306072112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.