Individual provider Active NPI

Alla Goldberg, M.D.

  • Ophthalmology Physician
  • Sandy Springs, GA
National Provider Identifier
1801063789
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
85747 Issued in GA
Practice address
5505 Peachtree Dunwoody Rd Ste 500
Sandy Springs, GA 30342-1754
Phone
(470) 454-9970
Fax
(470) 454-9971
NPI assigned
May 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P2884 TX
Retina Specialist (Ophthalmology) Physician 207WX0107X P2884 TX
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X P2884 TX
Ophthalmology Physician 207W00000X 85747 GA Primary

Addresses

Primary practice location

5505 Peachtree Dunwoody Rd Ste 500
Sandy Springs, GA 30342-1754

Mailing address

5505 Peachtree Dunwoody Rd Ste 500
Sandy Springs, GA 30342-1754
Phone (470) 454-9970

Other identifiers 1

IdentifierTypeStateIssuer
083251101MedicaidTX

Other names 1

  • Alla Kukuyev Former name

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
I20200722003128 GA Practitioner - Ophthalmology 9931387941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry NE
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

5505 Peachtree Dunwoody Rd
Suite 150
Atlanta, GA 30342-1715
Phone (404) 847-0893

5505 Peachtree Dunwoody Rd
Suite 500
Sandy Springs, GA 30342-1754
Phone (470) 454-9970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2884TXMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eye Group PC Ophthalmology CurrentSince Aug 1, 2020 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince May 1, 2024 Accepting new patients
Thomas Eye Group PC Ophthalmology Current Accepting new patients
Thomas Eye Group PC CurrentSince Aug 1, 2020 Accepting new patients

Locations

3975 Lawrenceville Hwy NW
Lilburn, GA 30047
Phone (770) 717-1191

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

5505 Peachtree Dunwoody Rd
Ste 500
Sandy Springs, GA 30342
Phone (404) 256-3535

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

5901 Peachtree Dunwoody Rd
Ste A500
Sandy Springs, GA 30328

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 1

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": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1801063789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE 500",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421754",
            "telephone_number": "470-454-9970",
            "fax_number": "470-454-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE 500",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421754",
            "telephone_number": "470-454-9970",
            "fax_number": "470-454-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ALLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-10",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P2884",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "P2884",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "TX",
            "license": "P2884",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "85747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083251101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLA",
            "last_name": "KUKUYEV",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.