DR. BRYAN G JEFFERIES (NPI# 1720160922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720160922 |
| Entity Type | Individual |
| Full Name | DR. BRYAN G JEFFERIES |
| Credential | MD |
| Practice Address |
2480 Windy Hill Rd Se Suite 400 Marietta GA 30067-8644 |
| Practice Telephone | 6782624220 |
| Practice Fax Number | 6782624221 |
| Mailing Telephone | 6782624220 |
| Mailing Fax Number | 6782624221 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2010-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 2008-01722 | NC | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 057122 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS OF NC | 151MJ | 01 |
| GA | 901559898A | 05 |
| Street Address |
2480 WINDY HILL RD SE SUITE 400 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-8644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647139 | Peter S Trager | Dentist | 2480 Windy Hill Rd Se, Ste 405, Marietta, GA 30067-8658 | 2005-05-24 |
| 1942723655 | Naa Jamah Crump | Chiropractor | 2480 Windy Hill Rd Se, Ste 405, Marietta, GA 30067-8658 | 2017-07-25 |
| 1750763132 | Primary Medical Homecare LLC | Point of Service | 2480 Windy Hill Rd Se, Suite 206, Marietta, GA 30067-8644 | 2015-06-23 |
| 1245620558 | Dr. Jay K. Kansal, Dmd, PC | Dentist | 2480 Windy Hill Rd Se, Suite 405, Marietta, GA 30067-8644 | 2015-01-26 |
| 1750690848 | Bryan Jefferies, M.d., P.C. | Ophthalmology | 2480 Windy Hill Rd Se, Suite 400, Marietta, GA 30067-8644 | 2010-10-07 |
| 1124353339 | Pro- Holism Professional Corporation | Psychologist | 2480 Windy Hill Rd Se, Suite 206, Marietta, GA 30067-8644 | 2009-10-06 |
| 1235464561 | Reda Coston | Psychologist | 2480 Windy Hill Rd Se, Suite 206, Marietta, GA 30067-8644 | 2009-10-05 |
| 1912190976 | Bill Lee Wallace | Family Medicine | 2480 Windy Hill Rd Se, Suite 200, Marietta, GA 30067-8644 | 2007-08-23 |
| 1437365616 | Paul Aaron Goldberg | Chiropractor | 2480 Windy Hill Rd Se, Suite 203, Marietta, GA 30067-8644 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518288281 | Jonathan Woolfson, Md, PC | Ophthalmology | 850 Piedmont Rd, Marietta, GA 30066-5458 | 2010-06-17 |
| 1184889172 | Jay Elliott Finke | Ophthalmology | 2805 Prado Ln, Marietta, GA 30066-3358 | 2008-07-19 |
| 1376662122 | Joseph Cooper M.d. Inc. | Ophthalmology | 400 Matthew St Ste 100, Marietta Memorial Hospital, Marietta, OH 45750-1656 | 2007-03-29 |
| 1023048154 | David S George & Scott H Strickler Ptnrs | Ophthalmology | 1204 Greene Street, Marietta, OH 45750 | 2006-07-04 |
| 1093779431 | Marc F Greenberg | Ophthalmology | 355 Tower Rd Ne Ste 102, Marietta, GA 30060-9410 | 2006-04-13 |
| 1083678759 | Christopher M Weltz | Ophthalmology | 355 Tower Rd Ne Ste 100, Marietta, GA 30060-9410 | 2006-04-12 |
| 1003879925 | Howard E Borger | Ophthalmology | 355 Tower Rd Ne, Suite 100, Marietta, GA 30060-9408 | 2006-04-11 |
| 1962463570 | Hersh Chopra | Ophthalmology | 653 Cherokee St Ne, Marietta, GA 30060-8911 | 2006-03-31 |
| 1306810080 | Bruce Patterson Crowley | Ophthalmology | 130 Vann St Ne, Suite 230, Marietta, GA 30060-7250 | 2006-02-17 |
| 1720060114 | Denise A Johnson | Ophthalmology | 895 Canton Rd Ne Bldg 100, Marietta, GA 30060-8935 | 2005-11-19 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.