NPIMap

Organization Active NPI

Georgia Ophthalmologists LLC

  • Ophthalmology Physician
  • Covington, GA
National Provider Identifier
1932497575
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GEORGIA OPHTHALMOLOGISTS LLC
Practice address
4159 Mill St NE
Covington, GA 30014-2546
Phone
(770) 786-1234
Fax
(678) 712-6977
NPI assigned
Jul 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Mrs. Stacy Bigles
Title
Administrator
Phone
(770) 786-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4159 Mill St NE
Covington, GA 30014-2546

Mailing address

PO Box 2898
Covington, GA 30015-7898
Phone (770) 786-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110908001993 GA Part B Supplier - Clinic/Group Practice 6406026186 Receives reassigned benefits from 8 practitioners
Practice locations: Covington, GA; Jackson, GA; Watkinsville, GA

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Georgia Ophthalmologists LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

860 W 3rd St
Jackson, GA 30233
Phone (770) 775-1234

1747 Langford Dr
Watkinsville, GA 30677
Phone (443) 414-1843

Interoperability endpoints

  • Direct secure messaging: kcleary@geo.intellechartdirect.net
  • Direct secure messaging: wpace@geo.intellechartdirect.net
  • Direct secure messaging: jbiglesgeigel@geo.intellechartdirect.net
  • Direct secure messaging: jnayee@geo.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1932497575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2898",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300157898",
            "telephone_number": "770-786-1234",
            "fax_number": "678-712-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4159 MILL ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142546",
            "telephone_number": "770-786-1234",
            "fax_number": "678-712-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA OPHTHALMOLOGISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "BIGLES",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-786-1234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.

Verify at the official NPI Registry.