Individual provider Active NPI

Anisha Patel

  • Optometrist
  • Newnan, GA
National Provider Identifier
1871089375
Registry record updated Jul 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003089 Issued in GA
Practice address
3150 Highway 34 E Ste 306
Newnan, GA 30265-2123
Phone
(770) 252-1999
NPI assigned
Jul 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003089 GA Primary

Addresses

Primary practice location

3150 Highway 34 E Ste 306
Newnan, GA 30265-2123

Mailing address

3150 Highway 34 E Ste 306
Newnan, GA 30265-2123
Phone (770) 252-1999

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
I20180904001310 GA Practitioner - Ophthalmology 5698025161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy Jeffries, O.D., P.C.Group PAC ID 2365452596, 2 clinicians

Practice addresses (Care Compare)

185 Glenda Trce
Suite a
Newnan, GA 30265-3825
Phone (770) 252-1999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Jeffries, O.D., P.C. Optometrist CurrentSince Aug 27, 2018 Accepting new patients

Locations

3150 Highway 34 E
Ste 306
Newnan, GA 30265
Phone (770) 252-1999

185 Glenda Trce
Ste A
Newnan, GA 30265
Phone (770) 252-1999

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.

NPI Registry JSON

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531008000000",
    "number": "1871089375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 34 E STE 306",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652123",
            "telephone_number": "770-252-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 34 E STE 306",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652123",
            "telephone_number": "770-252-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.