SOUTH GEORGIA EYE PARTNERS PC – Ophthalmology Physician, NPI 1922321728
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTH GEORGIA EYE PARTNERS PC
4380 KINGS WAY
VALDOSTA, GA 316026921
Phone: (229) 244-2068
Type: Mailing
4120 N VALDOSTA RD STE A
VALDOSTA, GA 316024973
Phone: (229) 244-2068
Type: Location
416 Tift Ave N
Tifton, GA 317944466
Phone: (229) 391-4180
Type: Location
115 5th St SE
Moultrie, GA 317684834
Phone: (229) 890-8016
Type: Location
200 Doctors Dr Ste 105
Douglas, GA 315332202
Phone: (912) 384-1840
Type: Location
234 SW Range Ave
Madison, FL 323402323
Phone: (850) 973-3937
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: 2010-09-30
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (107 days away).
Enrollment records
2
Earliest due date
2026-09-30
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 |
|---|---|---|---|---|
| O20100510000286 | O | Clinic/Group Practice | GA | TBD |
| O20100930045958 | O | Physician - Optometrist | GA | 2026-09-30 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 31602)
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