Individual provider Active NPI

David Alexander Phaup

  • Optometrist
  • Sandy Springs, GA
National Provider Identifier
1942861877
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003158 Issued in GA
Practice address
5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone
(404) 256-1507
NPI assigned
Jun 21, 2019
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003158 GA Primary

Addresses

Primary practice location

5995 Barfield Rd
Sandy Springs, GA 30328-4411

Mailing address

5901 Peachtree Dunwoody Rd Ste A500
Atlanta, GA 30328-7162
Phone (678) 892-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daphaup@teg.emadirect.md Direct

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
I20190911003879 GA Practitioner - Optometry 2961731260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Eye Group PCGroup PAC ID 2567455868, 51 clinicians

Practice addresses (Care Compare)

5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone (404) 256-1507

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eye Group PC Optometrist Current Accepting new patients
Thomas Eye Group PC CurrentSince Aug 9, 2019 Accepting new patients
Thomas Eye Group PC Optometrist CurrentSince Aug 9, 2019 Accepting new patients

Locations

1110 W Peachtree St NW
Ste 860
Atlanta, GA 30309
Phone (678) 538-1968

546 Lakeland Plz
Cumming, GA 30040
Phone (678) 208-2393

2240 Hamilton Creek Pkwy
Ste 1100
Dacula, GA 30019
Phone (404) 582-0096

9875 Medlock Bridge Pkwy
Ste 100
Johns Creek, GA 30022
Phone (770) 813-0026

3975 Lawrenceville Hwy NW
Lilburn, GA 30047
Phone (770) 717-1191

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

5901 Peachtree Dunwoody Rd
Ste A500
Sandy Springs, GA 30328

1120 Peachtree Industrial Blvd
Ste 101
Suwanee, GA 30024
Phone (770) 809-3366

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1942861877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 PEACHTREE DUNWOODY RD STE A500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287162",
            "telephone_number": "678-892-2020",
            "fax_number": "678-538-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 BARFIELD RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284411",
            "telephone_number": "404-256-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAUP",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daphaup@teg.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct edge",
            "address_1": "5995 Barfield Rd",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.