Bryan Jefferies, M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

057122 Issued in GA

Legal business name

BRYAN JEFFERIES, M.D., P.C.

Doing business as

Windy Hill Ophthalmology and Optical

Practice address

2480 Windy Hill Rd SE
Suite 400
Marietta, GA 30067-8644

Phone

(678) 262-4220

Fax

(678) 262-4221

NPI assigned

Oct 7, 2010

Last updated

Oct 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Jefferies, M.D.NPI 1720160922

Title

Owner

Phone

(678) 262-4220

Specialties & licenses 1

Addresses

Other names 1

• Windy Hill Ophthalmology and Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan G Jefferies, MD

  • Ophthalmology Physician
  • Marietta, GA
  • NPI 1720160922
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1750690848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE",
            "address_2": "SUITE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678644",
            "telephone_number": "678-262-4220",
            "fax_number": "678-262-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE",
            "address_2": "SUITE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678644",
            "telephone_number": "678-262-4220",
            "fax_number": "678-262-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN JEFFERIES, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "JEFFERIES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-262-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "057122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windy Hill Ophthalmology and Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Havalyn Bruns, D.C.
• Jabaray Brunson
• Jaszmyne Brunson
• Meredith Brunson, OT
• Michael Brunt, M.D.
• Alpha Fowler Bryan, M.D.
• Althea Bryan
• Annsley Bryan, PHARMD
• Francine Bryan
• Traci Elizabeth Bryan, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.