Active NPI
Jonathan Woolfson, MD, PC
- Ophthalmology Physician
- Smyrna, GA
National Provider Identifier
1831429281
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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jonathan M Woolfson, MD
- Title
- Ceo
- Phone
- (770) 804-1684
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
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… |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1239 Concord Rd SE
Smyrna, GA 30080-4310
Mailing address
PO Box 63174
Charlotte, NC 28263-3174
Phone (770) 804-1684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2024.
{
"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.