Active NPI
Jonathan Woolfson, MD, PC
- Ophthalmology Physician
- Smyrna, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JONATHAN WOOLFSON, MD, PC
- Practice address
- 1239 Concord Rd SE
Smyrna, GA 30080-4310 - Phone
- (770) 435-4457
- Fax
- (770) 435-4555
- NPI assigned
- Jan 7, 2010
- Last updated
- Dec 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan M Woolfson, MD
- Title
- Ceo
- Phone
- (770) 804-1684
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1239 Concord Rd SE
Smyrna, GA 30080-4310
Mailing address
PO Box 63174
Charlotte, NC 28263-3174
Phone (770) 804-1684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040505000641 | GA | Part B Supplier - Clinic/Group Practice | 8426046665 |
Receives reassigned benefits from 34 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Douglasville, GA; Tyrone, GA; Stockbridge, GA; Snellville, GA; Roswell, GA; Peachtree City, GA; Marietta, GA; Lawrenceville, GA… |
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1065 Jodeco Rd
Stockbridge, GA 30281
Phone (678) 284-6300
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Atlanta, GA
- NPI 1528154465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733270400000",
"number": "1831429281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63174",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282633174",
"telephone_number": "770-804-1684",
"fax_number": "770-516-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1239 CONCORD RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300804310",
"telephone_number": "770-435-4457",
"fax_number": "770-435-4555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN WOOLFSON, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-07",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A",
"authorized_official_last_name": "WOOLFSON",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-804-1684",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.