Individual provider Active NPI

Victor Thomas Copeland, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Athens, GA
National Provider Identifier
1811125610
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
73361 Issued in GA
Practice address
2705 Jefferson Rd
Athens, GA 30607-1208
Phone
(706) 543-3200
Fax
(706) 433-1745
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207WX0107X 73361 GA Primary

Addresses

Primary practice location

2705 Jefferson Rd
Athens, GA 30607-1208

Mailing address

2705 Jefferson Rd
Athens, GA 30607-1208
Phone (706) 543-3200

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
I20150707003283 GA Practitioner - Ophthalmology 7315181583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Retina Center PCGroup PAC ID 3870684137, 3 clinicians

Practice addresses (Care Compare)

2705 Jefferson Rd
Athens, GA 30607-1208
Phone (706) 543-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
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
73361GAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Retina Center PC Single Specialty CurrentSince Aug 1, 2015 Accepting new patients

Locations

2705 Jefferson Rd
Athens, GA 30607
Phone (706) 543-3200

118 Vision Dr
Cornelia, GA 30531
Phone (706) 776-2020

1110 Commerce Dr
Ste 112
Greensboro, GA 30642
Phone (706) 453-1922

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: victor.copeland.p1@direct.athensretinacenter.nextgenshare.com

Organizations & group practices 1

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1811125610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 JEFFERSON RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071208",
            "telephone_number": "706-543-3200",
            "fax_number": "706-433-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 JEFFERSON RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071208",
            "telephone_number": "706-543-3200",
            "fax_number": "706-433-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "VICTOR",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "GA",
            "license": "73361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.