Individual provider Active NPI

Jenna Yoder, DO

  • Ophthalmology Physician
  • Atlanta, GA
National Provider Identifier
1982946471
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
90822 Issued in GA
Practice address
800 Mount Vernon Hwy NE Ste 125
Atlanta, GA 30328-4294
Phone
(770) 804-1684
NPI assigned
Mar 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 306667 LA
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 2018-01148 NC
Ophthalmology Physician 207W00000X 90822 GA Primary

Addresses

Primary practice location

800 Mount Vernon Hwy NE Ste 125
Atlanta, GA 30328-4294

Mailing address

800 Mount Vernon Hwy NE Ste 125
Atlanta, GA 30328-4294
Phone (937) 384-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180808003826 NC Practitioner - Ophthalmology 8123252616 Reassigns benefits to 1 organization
I20220209001331 GA Practitioner - Ophthalmology 8123252616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio University, College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan Woolfson MD PCGroup PAC ID 8426046665, 29 clinicians

Practice addresses (Care Compare)

1 Town Square Blvd
Suite 110
Asheville, NC 28803-5014
Phone (828) 651-8662

800 Mount Vernon Nehwy
Suite 100
Atlanta, GA 30328-4293
Phone (770) 804-1684

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90822GAMDOphthalmology Physician
2018-01148NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eye Associates Inc Single Specialty Current Accepting new patients
Jonathan Woolfson, MD, PC Single Specialty CurrentSince Jul 21, 2020 Accepting new patients
Jonathan Woolfson, MD, P.C. Single Specialty PastSince Jul 21, 2020 Accepting new patients

Locations

1691 Phoenix Blvd
Ste 195
Atlanta, GA 30349
Phone (770) 804-1864

100 River Pointe Pkwy
Canton, GA 30114
Phone (770) 720-4041

8458 Campbellton St
Douglasville, GA 30134

1980 Riverside Pkwy
Ste 103
Lawrenceville, GA 30043
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

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

800 Mount Vernon Hwy NE
Ste 130
Sandy Springs, GA 30328
Phone (404) 237-1770

1 Town Square Blvd
Ste 110
Asheville, NC 28803
Phone (828) 651-8662

2170 Midland Rd
Southern Pnes, NC 28387
Phone (910) 295-1221

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1982946471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284294",
            "telephone_number": "937-384-6800",
            "fax_number": "770-804-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284294",
            "telephone_number": "770-804-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "JENNA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "306667",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2018-01148",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "90822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.