Individual provider Active NPI

Gregory Fred McBrayer, O.D.

  • Optometrist
  • Cartersville, GA
National Provider Identifier
1972697555
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1341 Issued in GA
Practice address
837 Joe Frank Harris Parkway
Cartersville, GA 30120
Phone
(770) 382-2020
Fax
(770) 382-4880
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1341 GA Primary

Addresses

Primary practice location

837 Joe Frank Harris Parkway
Cartersville, GA 30120

Mailing address

837 Joe Frank Harris Parkway
Cartersville, GA 30120
Phone (770) 382-2020

Other identifiers 1

IdentifierTypeStateIssuer
000515204BMedicaidGA

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
I20090805000745 GA Practitioner - Optometry 7618020801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Eyecare, PCGroup PAC ID 4284625435, 4 clinicians

Practice addresses (Care Compare)

1727 Mars Hill Rd
Acworth, GA 30101-8090

1727 Mars Hill Rd NW
Suite 415
Acworth, GA 30101-8075
Phone (770) 499-2005

837 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2462
Phone (770) 382-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1341GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Eyecare, PC Optometrist CurrentSince Mar 24, 2016 Accepting new patients
Vision One Inc Optometrist CurrentSince Sep 21, 2008 Accepting new patients
Eyeworks Past Accepting new patients

Locations

1727 Mars Hill Rd NW
Acworth, GA 30101
Phone (770) 218-2426

1727 Mars Hill Rd NW
Ste 415
Acworth, GA 30101
Phone (770) 499-2005

837 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (770) 382-2020

837 Joe Frank Harris Pkwy SE
Ste 1
Cartersville, GA 30120

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972697555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 JOE FRANK HARRIS PARKWAY",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30120",
            "telephone_number": "770-382-2020",
            "fax_number": "770-382-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 JOE FRANK HARRIS PARKWAY",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30120",
            "telephone_number": "770-382-2020",
            "fax_number": "770-382-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRAYER",
        "first_name": "GREGORY",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000515204B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.