Active NPI
Albert Gonzalez-Acevedo, M.D.
- Ophthalmology Physician
- Valdosta, GA
National Provider Identifier
1780681544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 048049
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000841904D | Medicaid | GA |
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
Enrollment records 1
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 187 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyeassociates Surgery Center, Inc | Current | Accepting new patients | |
| Eye Associates of Valdosta | Ophthalmology | Current | Accepting new patients |
| Optical Associates of South Ga LLP | Ophthalmology | Past | Accepting new patients |
| Georgia Eye Consultants, P.C. | Ophthalmology | Past | Accepting new patients |
Locations
3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114
Interoperability endpoints
- 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.
-
- Ophthalmology Physician
- Valdosta, GA
- NPI 1851406342
-
- Ambulatory Surgical Clinic/Center
- Valdosta, GA
- NPI 1487782637
-
- Ophthalmology Physician
- Vidalia, GA
- NPI 1467672832
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
-
- Critical Access Hospital
- Lakeland, GA
- NPI 1215703632
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.