Active NPI
Jonathan Woolfson, MD, PC
- Ophthalmology Physician
- Canton, GA
National Provider Identifier
1942511050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JONATHAN WOOLFSON, MD, PC
- Practice address
- 201 Hospital Rd
Canton, GA 30114-2408 - Phone
- (770) 720-5100
- NPI assigned
- Jun 24, 2010
- 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
- Dr. Jonathan M Woolfson
- Title
- Ceo
- Phone
- (770) 804-1684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
201 Hospital Rd
Canton, GA 30114-2408
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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733270400000",
"number": "1942511050",
"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": "201 HOSPITAL RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301142408",
"telephone_number": "770-720-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN WOOLFSON, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-24",
"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_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, 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.