SOUTH ATLANTIC RETINA PLLC
NPI 1033092366
Ophthalmology - Retina Specialist in Jacksonville, FL
About South Atlantic Retina Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH ATLANTIC RETINA PLLC (NPI 1033092366), doing business as South Atlantic Retina, is a healthcare organization registered as a retina specialist in Jacksonville, Florida and active in the NPI registry since July 2025. The organization lists Ahmed M Elkeeb, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Atlantic Retina Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Atlantic Retina PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is South Atlantic Retina PLLC's NPI number?
The NPI number for South Atlantic Retina PLLC is 1033092366. It was assigned to this organization in the NPPES registry on July 25, 2025. The provider is doing business as South Atlantic Retina.
Where is South Atlantic Retina PLLC located?
South Atlantic Retina PLLC is located at 3627 University Blvd S Ste 605, Jacksonville, FL 32216. The listed phone number is (904) 658-0176.
What is South Atlantic Retina PLLC's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is South Atlantic Retina PLLC enrolled in Medicare?
Yes. South Atlantic Retina PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Atlantic Retina PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to South Atlantic Retina PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Atlantic Retina PLLC accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list South Atlantic Retina PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Atlantic Retina PLLC was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# South Atlantic Retina Pllc · NPI 1033092366
Retina Specialist organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since July 25, 2025.
## Identity
- **NPI:** 1033092366 (Entity type: Organization)
- **Enumerated:** July 25, 2025
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Also known as:** South Atlantic Retina (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ahmed Elkeeb, OWNER
## Practice location
- **Address:** 3627 UNIVERSITY BLVD S STE 605, Jacksonville, FL 32216-7401
- **Phone:** (904) 658-0176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033092366) · Data from the CMS NPPES public registry.