Individual provider Active NPI

Stephen Arthur Godlewski, M.D.

  • Ophthalmology Physician
  • Snellville, GA
National Provider Identifier
1972563666
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
GA016512 Issued in GA
Practice address
2085 McGee Rd
Snellville, GA 30078-2910
Phone
(770) 979-1144
Fax
(770) 736-1480
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X GA016512 GA Primary

Addresses

Primary practice location

2085 McGee Rd
Snellville, GA 30078-2910

Mailing address

2085 McGee Rd
Snellville, GA 30078-2910
Phone (770) 979-1144

Other identifiers 1

IdentifierTypeStateIssuer
406183583OtherGAMEDICARE RAILROAD

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
I20100817000416 GA Practitioner - Ophthalmology 4082748744 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GA016512GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Woolfson, MD, PC Ophthalmology CurrentSince Nov 1, 2021 Accepting new patients

Locations

800 Mount Vernon Hwy NE
Ste 100
Sandy Springs, GA 30328
Phone (404) 237-1770

800 Mount Vernon Hwy NE
Ste 125
Sandy Springs, GA 30328
Phone (404) 256-1125

800 Mount Vernon Hwy NE
Ste 120
Sandy Springs, GA 30328

Organizations & group practices 2

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1972563666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 MCGEE RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782910",
            "telephone_number": "770-979-1144",
            "fax_number": "770-736-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 MCGEE RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782910",
            "telephone_number": "770-979-1144",
            "fax_number": "770-736-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLEWSKI",
        "first_name": "STEPHEN",
        "middle_name": "ARTHUR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "GA016512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "406183583",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.