MARIETTA EYE CLINIC, PA
NPI 1629784160
Ophthalmology in Cumming, GA

Active since January 27, 2023
2860 RONALD REAGAN BLVD STE 210, CUMMING, GA 30041(770) 427-8111 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2023, Jan 27, 2023 (2 updates tracked since 2023).

About Marietta Eye Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIETTA EYE CLINIC, PA (NPI 1629784160) is a healthcare organization registered as an ophthalmology in Cumming, Georgia and active in the NPI registry since January 2023. The organization lists Henry Elliott Gatehouse, Director, as its authorized official.

NPPES Registry Identity

NPI1629784160
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMARIETTA EYE CLINIC, PA
Location Address2860 RONALD REAGAN BLVD STE 210Cumming, GA 30041-6092
Mailing Address895 Canton Rd NeMarietta, GA 30060-8934 · (770) 427-8111
Organization SubpartYes
Authorized OfficialHenry Elliott GatehouseDirector · (770) 427-8111
Enumeration DateJanuary 27, 2023
Last NPPES UpdateMarch 9, 20232 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1629784160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
Also ListedOptometristTaxonomy 152W00000X
2860 RONALD REAGAN BLVD STE 210, Cumming, GA 30041

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marietta Eye Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

46

Medicare enrollment records show 46 clinicians reassign Medicare billing to Marietta Eye Clinic, PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Ophthalmology23
Optometry23

Nearest to this location (20)

See all 46
Ophthalmology
NPI 1285098533
5400 LAUREL SPRINGS PKWY STE 103
Suwanee, GA 30024
(470) 403-2020
✔ PECOS✔ Accepts Medicare4.9 mi
Optometry
NPI 1457430464
13190 OWENS WAY
Alpharetta, GA 30004
(404) 218-4912
✔ PECOS✔ Accepts Medicare11 mi
Ophthalmology
NPI 1104211283
4045 WETHERBURN WAY STE 1
Norcross, GA 30092
(770) 285-7910
✔ PECOS14 mi
Optometry
NPI 1912974700
4690 JEFFERSON TOWNSHIP LANE
Marietta, GA 30066
(404) 402-7870
✔ PECOS✔ Accepts Medicare16 mi
Optometry
NPI 1275763062
3960 SHALLOWFORD RD #A
Marietta, GA 30062
(770) 642-4001
✔ PECOS✔ Accepts Medicare18 mi
Optometry
NPI 1881696763
1230 JOHNSON FERRY PL SUITE B-10
Marietta, GA 30068
(770) 977-8000
✔ PECOS19 mi
Optometry
NPI 1902597222
1100 JOHNSON FY RD NE STE 130
Atlanta, GA 30342
(404) 953-4034
✔ PECOS✔ Accepts Medicare20 mi
Optometry
NPI 1194396309
5505 PEACHTREE DUNWOODY RD STE 300
Atlanta, GA 30342
(404) 257-0814
✔ PECOS✔ Accepts Medicare20 mi
Optometry
NPI 1770219818
5505 PEACHTREE DUNWOODY RD STE 300
Atlanta, GA 30342
(404) 257-0814
✔ PECOS✔ Accepts Medicare20 mi
Optometry
NPI 1457404170
895 CANTON RD NE #100
Marietta, GA 30060
(770) 427-8111
✔ PECOS✔ Accepts Medicare25 mi
Ophthalmology
NPI 1700013653
895 CANTON RD NE BLDG 100
Marietta, GA 30060
(770) 427-8111
✔ PECOS✔ Accepts Medicare25 mi
Ophthalmology
NPI 1164786976
895 CANTON RD NE BLDG 100
Marietta, GA 30060
(770) 427-8111
✔ PECOS✔ Accepts Medicare25 mi
Ophthalmology
NPI 1770791725
895 CANTON RD NE
Marietta, GA 30060
(770) 427-8111
✔ PECOS✔ Accepts Medicare25 mi
Ophthalmology
NPI 1265570840
895 CANTON RD NE
Marietta, GA 30060
(770) 427-8111
✔ PECOS✔ Accepts Medicare25 mi
Ophthalmology
NPI 1720060114
895 CANTON RD NE BLDG 100
Marietta, GA 30060
(770) 427-8111
✔ PECOS✔ Accepts Medicare25 mi
Ophthalmology
NPI 1225030182
895 CANTON RD NE BUILDING 100
Marietta, GA 30060
(770) 427-8111
✔ PECOS✔ Accepts Medicare25 mi
Optometry
NPI 1811370331
895 CANTON RD NE BLDG 100
Marietta, GA 30060
(770) 427-8111
✔ PECOS✔ Accepts Medicare25 mi
Optometry
NPI 1073202727
895 CANTON RD NE BLDG 100200
Marietta, GA 30060
(770) 427-8111
✔ PECOS✔ Accepts Medicare25 mi
Optometry
NPI 1417204801
895 CANTON RD NE BLDG 100
Marietta, GA 30060
(770) 427-8111
✔ PECOS✔ Accepts Medicare25 mi
Optometry
NPI 1093418584
895 CANTON RD NE BLDG 100
Marietta, GA 30060
(770) 427-8111
✔ PECOS✔ Accepts Medicare25 mi
See all 46 clinicians

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 Marietta Eye Clinic, PA's NPI number?

The NPI number for Marietta Eye Clinic, PA is 1629784160. It was assigned to this organization in the NPPES registry on January 27, 2023.

Where is Marietta Eye Clinic, PA located?

Marietta Eye Clinic, PA is located at 2860 Ronald Reagan Blvd Ste 210, Cumming, GA 30041. The listed phone number is (770) 427-8111.

What is Marietta Eye Clinic, PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Marietta Eye Clinic, PA enrolled in Medicare?

Yes. Marietta Eye Clinic, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marietta Eye Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 2 Medicare specialties reassign their Medicare billing to Marietta Eye Clinic, PA. 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. The largest specialties are Ophthalmology (23) and Optometry (23). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marietta Eye Clinic, PA was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.