OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1871829192
Ophthalmic Plastic and Reconstructive Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC
2472 JETT FERRY RD
SUITE 400 #319
ATLANTA, GA 303383059
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Mailing
3890 JOHNS CREEK PKWY STE 245
SUWANEE, GA 300246697
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Mailing
4360 Chamblee Dunwoody Rd Ste 108
Atlanta, GA 303411049
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Location
700 Sunset Dr Ste 103
Athens, GA 306062287
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Location
1429 Oglethorpe St
Macon, GA 312011512
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Location
111 Fieldstone Dr Ste 100
Milledgeville, GA 310617108
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Location
705 Dallas Hwy Ste 103
Villa Rica, GA 301801243
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Location
103 Villa Rica Pkwy Ste 203
Villa Rica, GA 301803273
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Location
440 Taylors Mill Rd
Fort Valley, GA 310307415
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Location
201 River Park North Dr
Woodstock, GA 301887835
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Location
4159 Mill St NE
Covington, GA 300142546
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Location
3890 JOHNS CREEK PKWY STE 240
SUWANEE, GA 300241286
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Location
Oglethorpe Street, Macon, Bibb County, Georgia, 31201, United States
MACON, GA 312011512
Phone: (770) 604-4141
Fax: (770) 604-4140
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100201000198 | O | Clinic/Group Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30338)
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