Individual provider Active NPI

Evan S Loft, MD

  • Cornea and External Diseases Specialist Physician
  • Atlanta, GA
National Provider Identifier
1750407839
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
055255 Issued in GA
Practice address
3225 Cumberland Blvd SE Ste 900
Atlanta, GA 30339-5971
Phone
(404) 351-2220
Fax
(404) 591-2939
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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 055255 GA
Cornea and External Diseases Specialist Physician 207WX0120X 055255 GA Primary

Addresses

Primary practice location

3225 Cumberland Blvd SE Ste 900
Atlanta, GA 30339-5971

Mailing address

3225 Cumberland Blvd SE
Suite 900
Atlanta, GA 30339-6407
Phone (404) 351-2220

Other identifiers 1

IdentifierTypeStateIssuer
944572343FMedicaidGA

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
I20070716000341 GA Practitioner - Ophthalmology 3173623428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants of Atlanta, PCGroup PAC ID 8426031733, 30 clinicians

Practice addresses (Care Compare)

3225 Cumberland Blvd SE
Suite 900
Atlanta, GA 30339-5971
Phone (404) 351-2220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants of Atlanta, PC Ophthalmology CurrentSince May 1, 2008 Accepting new patients
Eca Optical, LLC CurrentSince May 1, 2008 Accepting new patients
Eye Consultants of Atlanta Piedmont Ophthalmology Past Accepting new patients

Locations

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

3225 Cumberland Blvd SE
Ste 900
Atlanta, GA 30339
Phone (770) 394-4568

3193 Howell Mill Rd NW
Ste 115
Atlanta, GA 30327
Phone (404) 350-1425

3225 Cumberland Blvd SE
Ste 800
Atlanta, GA 30339
Phone (404) 875-9011

340 Brandywine Blvd
Fayetteville, GA 30214
Phone (770) 460-4286

350 Brandywine Blvd
Ste 101
Fayetteville, GA 30214
Phone (678) 801-6818

350 Brandywine Blvd
Ste 100
Fayetteville, GA 30214
Phone (678) 385-0377

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

780 Canton Rd NE
Ste 100
Marietta, GA 30060
Phone (678) 574-0943

5445 Meridian Mark Rd
Ste 220
Sandy Springs, GA 30342
Phone (404) 255-2419

Interoperability endpoints

  • Direct secure messaging: evan.loft.1@6806.direct.athenahealth.com

Organizations & group practices 3

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1750407839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE",
            "address_2": "SUITE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396407",
            "telephone_number": "404-351-2220",
            "fax_number": "404-591-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395971",
            "telephone_number": "404-351-2220",
            "fax_number": "404-591-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFT",
        "first_name": "EVAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "055255",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "GA",
            "license": "055255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944572343F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.