Individual provider Active NPI

Albert Gonzalez-Acevedo, M.D.

  • Ophthalmology Physician
  • Valdosta, GA
National Provider Identifier
1780681544
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
048049 Issued in GA
Practice address
3024 N Patterson St
Valdosta, GA 31602-1711
Phone
(229) 247-4114
Fax
(229) 245-9042
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 048049 GA Primary

Addresses

Primary practice location

3024 N Patterson St
Valdosta, GA 31602-1711

Mailing address

3024 N Patterson St
Valdosta, GA 31602-1711
Phone (229) 247-4114

Other identifiers 1

IdentifierTypeStateIssuer
000841904DMedicaidGA

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
I20040715001185 GA Practitioner - Ophthalmology 8628974698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Carolina School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3024 N Patterson St
Valdosta, GA 31602-1711
Phone (229) 247-4114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery187

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eyeassociates Surgery Center, Inc CurrentSince Jan 1, 2008 Accepting new patients
Eye Associates of Valdosta Ophthalmology CurrentSince Jan 3, 2008 Accepting new patients
Optical Associates of South Ga LLP Ophthalmology PastSince Sep 10, 2010 Accepting new patients
Georgia Eye Consultants, P.C. Ophthalmology PastSince May 1, 2004 Accepting new patients

Locations

3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114

Interoperability endpoints

  • Direct secure messaging: agonzalez@easga.direct.eyemdemr.com

Organizations & group practices 4

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 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1780681544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021711",
            "telephone_number": "229-247-4114",
            "fax_number": "229-245-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021711",
            "telephone_number": "229-247-4114",
            "fax_number": "229-245-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-ACEVEDO",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "048049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000841904D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.