NPIMap

Organization Active NPI

Gainesville Eye Associates LLC

Doing business as North Georgia Eye Associates

  • Ophthalmology Physician
  • Braselton, GA
National Provider Identifier
1821875774
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GAINESVILLE EYE ASSOCIATES LLC
Doing business as
North Georgia Eye Associates
Practice address
5670 Old Winder Hwy Ste 201
Braselton, GA 30517-1240
Phone
(770) 532-4444
Fax
(678) 971-5172
NPI assigned
Sep 13, 2023
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Candice B Davis
Title
Chief Revenue Cycle Officer
Phone
(916) 990-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

5670 Old Winder Hwy Ste 201
Braselton, GA 30517-1240

Mailing address

PO Box 392938
Pittsburgh, PA 15251-9900

Other names 1

  • North Georgia Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229000113 GA DME Supplier - Physician - OptometristDME Supplier - Optician 2860486438 Practice locations: Braselton, GA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gainesville Eye Associates LLC5670 Old Winder Hwy, Braselton, GA 30517-1240(770) 532-4444 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Dec 10, 2024

National Provider Directory

National Provider Directory
Tax ID family
Gainesville Eye Associates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5670 Old Winder Hwy
Braselton, GA 30517
Phone (770) 532-4444

1230 Bald Ridge Marina Rd
Ste 100
Cumming, GA 30041
Phone (770) 292-1999

4285 Jim Moore Rd
Dacula, GA 30019
Phone (770) 271-0000

4285 Jim Moore Rd
Ste 103
Dacula, GA 30019
Phone (770) 271-0000

1485 Jesse Jewell Pkwy NE
Ste 100
Gainesville, GA 30501
Phone (770) 292-1999

498 W Main St
Franklin, NC 28734
Phone (704) 524-5044

1091 Hwy 64 W
Hayesville, NC 28904
Phone (828) 389-3511

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1821875774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392938",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 OLD WINDER HWY STE 201",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305171240",
            "telephone_number": "770-532-4444",
            "fax_number": "678-971-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "916-990-7590"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Georgia Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Georgia Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Braselton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.