Individual provider Active NPI

Jae Matthew Choi, O.D.

  • Corneal and Contact Management Optometrist
  • Peachtree City, GA
National Provider Identifier
1942301338
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2019 Issued in GA
Practice address
407 City Cir Ste 1600
Peachtree City, GA 30269-3125
Phone
(770) 487-8013
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2019 GA Primary

Addresses

Primary practice location

407 City Cir Ste 1600
Peachtree City, GA 30269-3125

Mailing address

2451 Cumberland Pkwy SE Ste 3860
Atlanta, GA 30339-6136
Phone (404) 803-1100

Other practice location 1

1675 Cumberland Pkwy SE
Suite #103
Smyrna, GA 30080-6359
Phone (770) 438-0202

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811000148 GA Practitioner - Optometry 1850363714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002019GAMDMarriage & Family Therapist
2019GAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Georgia Inc CurrentSince Jul 1, 2017 Accepting new patients
State of Mississippi - University of Mississippi Medical Center PastSince Jul 1, 2017 Accepting new patients

Locations

8400 Holcomb Bridge Rd
Ste 440
Alpharetta, GA 30022
Phone (770) 645-1222

2900 Peachtree Rd NW
Ste 301
Atlanta, GA 30305
Phone (404) 869-5551

1675 Cumberland Pkwy SE
Ste 103
Smyrna, GA 30080
Phone (770) 438-0202

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

Interoperability endpoints

  • Direct secure messaging: dr.choi@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1942301338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE STE 3860",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "404-803-1100",
            "fax_number": "404-803-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CITY CIR STE 1600",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693125",
            "telephone_number": "770-487-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 Cumberland Pkwy SE",
            "address_2": "Suite #103",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806359",
            "country_code": "US",
            "telephone_number": "770-438-0202",
            "fax_number": "770-438-5033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JAE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "2019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.