Individual provider Active NPI

Emery Cason Jamerson

  • Ophthalmology Physician
  • Riverside, CA
National Provider Identifier
1770042962
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
96319 Issued in GA
Practice address
4445 Magnolia Ave
Riverside, CA 92501-4135
Phone
(951) 788-3000
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 96319 GA Primary

Addresses

Primary practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Mailing address

4625 Guilford Forest Dr SW
Atlanta, GA 30331-7392
Phone (607) 341-3436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230829002611 GA Practitioner - Ophthalmology 5294198925 Reassigns benefits to 2 organizations
I20250501001463 CA Practitioner - Ophthalmology 5294198925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Eye SpecialistsGroup PAC ID 0941297337, 4 clinicians

Practice addresses (Care Compare)

1425 W Manchester Ave
Suite a
Los Angeles, CA 90047-5436
Phone (310) 247-7400

653 Cherokee St NE
Marietta, GA 30060-8911
Phone (770) 419-1393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96319GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Eye Specialists CurrentSince Aug 14, 2023 Accepting new patients
Pelagie Foundation LTD CurrentSince May 8, 2025 Accepting new patients
Mobile Wound Care & Multi-Specialty Medical Group CurrentSince Feb 1, 2025 Accepting new patients

Locations

1425 W Manchester Ave
Ste A
Los Angeles, CA 90047
Phone (310) 247-7400

2055 Gees Mill Rd NE
Ste 326
Conyers, GA 30013
Phone (470) 356-6285

653 Cherokee St NE
Marietta, GA 30060
Phone (770) 419-1393

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.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1770042962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 GUILFORD FOREST DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317392",
            "telephone_number": "607-341-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "951-788-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMERSON",
        "first_name": "EMERY",
        "middle_name": "CASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "96319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.