Active NPI
Georgia Cataract and Eye Specialty Center LLC
Doing business as Georgia Cataract and Eye Specialty Center
- Ambulatory Surgical Clinic/Center
- Carrollton, GA
National Provider Identifier
1770019200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GEORGIA CATARACT AND EYE SPECIALTY CENTER LLC
- Doing business as
- Georgia Cataract and Eye Specialty Center
- Practice address
- 158 Clinic Ave
Suite B
Carrollton, GA 30117-4414 - Phone
- (770) 834-1008
- NPI assigned
- May 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren W Yancey, MD
- Title
- President
- Phone
- (770) 834-1008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
158 Clinic Ave
Suite B
Carrollton, GA 30117-4414
Mailing address
158 Clinic Ave
Suite B
Carrollton, GA 30117-4414
Phone (770) 834-1008
Other names 1
- Georgia Cataract and Eye Specialty Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180709001718 | GA | Part B Supplier - Ambulatory Surgical Center | 8921354754 | Practice locations: Carrollton, GA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Georgia Cataract and Eye Specialty Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2144641 | Georgia Cataract and Eye Specialty Center | Certificate of waiver | Feb 20, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Carrollton, GA
- NPI 1275597296
NPI Registry JSON
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": "1770019200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 CLINIC AVE",
"address_2": "SUITE B",
"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 B",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174414",
"telephone_number": "770-834-1008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA CATARACT AND EYE SPECIALTY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-03",
"last_updated": "2017-05-03",
"status": "A",
"authorized_official_last_name": "YANCEY",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-834-1008",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Georgia Cataract and Eye Specialty Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, GA
- Phillip Garza, PTA
- Patrice Gatell, DC
- Joanne Uyecio Gaw, M.D.
- Richard E Gayles, MD
- Paul Douglas Gentry, MD
- Georgia CVS Pharmacy LLC (CVS Pharmacy # 04568)
- Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #04532)
- Georgia Interventional Pain - H, LLC
- Georgia Pain and Wellness Center, LLC (Summit Spine & Joint Centers)
- Georgia Vision Institute (lensmasters)
Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.