NPIMap

Organization Active NPI

Family Eyecare Associates of Milledgeville, PC

  • Ophthalmology Physician
  • Milledgeville, GA
National Provider Identifier
1720040843
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FAMILY EYECARE ASSOCIATES OF MILLEDGEVILLE, PC
Practice address
111 Fieldstone Dr
Suite 100
Milledgeville, GA 31061-7106
Phone
(478) 453-9333
Fax
(478) 453-7760
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. C. Steve McQuaig, M.D.NPI 1215999818
Title
President
Phone
(478) 453-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X GA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X GA Primary

Addresses

Primary practice location

111 Fieldstone Dr
Suite 100
Milledgeville, GA 31061-7106

Mailing address

111 Fieldstone Dr
Suite 100
Milledgeville, GA 31061-7106
Phone (478) 453-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622000198 GA Part B Supplier - Clinic/Group Practice 1153317326 Receives reassigned benefits from 3 practitioners
Practice locations: Milledgeville, GA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Family Eye Care Associa2 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.

Locations

111 Fieldstone Dr
Ste 100
Milledgeville, GA 31061
Phone (478) 453-9333

Interoperability endpoints

  • Direct secure messaging: csmcquaig@feca.intellechartdirect.net
  • Direct secure messaging: cmcquaig@feca.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1720040843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR",
            "address_2": "SUITE 100",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617106",
            "telephone_number": "478-453-9333",
            "fax_number": "478-453-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR",
            "address_2": "SUITE 100",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617106",
            "telephone_number": "478-453-9333",
            "fax_number": "478-453-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE ASSOCIATES OF MILLEDGEVILLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "MCQUAIG",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-453-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.