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NORTHEAST GEORGIA OPHTHALMOLOGY, LLC
NPI 1689298457
Clinic/Center - Ophthalmologic Surgery in Gainesville, GA

Active since June 08, 2020
1498 JESSE JEWELL PKWY SE STE B, GAINESVILLE, GA 30501(770) 596-8605(713) 903-7907 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2020, Jun 8, 2020 (2 updates tracked since 2020).

About Northeast Georgia Ophthalmology, Llc NPPES

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

NORTHEAST GEORGIA OPHTHALMOLOGY, LLC (NPI 1689298457) is a healthcare organization registered as an ophthalmologic surgery in Gainesville, Georgia and active in the NPI registry since June 2020. The organization lists Vandana C. Reddy, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1689298457
Entity TypeOrganization
Primary Taxonomy261QS0132X
Legal Business NameNORTHEAST GEORGIA OPHTHALMOLOGY, LLC
Location Address1498 JESSE JEWELL PKWY SE STE BGainesville, GA 30501-3874
Mailing Address195 14th St Ne Unit 805Atlanta, GA 30309-2673 · (770) 596-8605 · Fax (713) 903-7907
Phone(770) 596-8605
Fax(713) 903-7907
Organization SubpartNo
Authorized OfficialVandana C. ReddyOwner/physician · (770) 767-3937
Enumeration DateJune 8, 2020
Last NPPES UpdateJune 24, 20202 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
✔ NPI 1689298457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ophthalmologic SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0132X
1498 JESSE JEWELL PKWY SE STE B, Gainesville, GA 30501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Georgia Ophthalmology, Llc 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 Northeast Georgia Ophthalmology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vandana Reddy, MD
Ophthalmology
NPI 1740444322
1498 JESSE JEWELL PKWY SE STE B
Gainesville, GA 30501
(770) 767-3937
✔ PECOS✔ Accepts MedicareSame address

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 Northeast Georgia Ophthalmology, LLC's NPI number?

The NPI number for Northeast Georgia Ophthalmology, LLC is 1689298457. It was assigned to this organization in the NPPES registry on June 8, 2020.

Where is Northeast Georgia Ophthalmology, LLC located?

Northeast Georgia Ophthalmology, LLC is located at 1498 Jesse Jewell Pkwy SE Ste B, Gainesville, GA 30501. The listed phone number is (770) 596-8605.

What is Northeast Georgia Ophthalmology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.

Is Northeast Georgia Ophthalmology, LLC enrolled in Medicare?

Yes. Northeast Georgia Ophthalmology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Georgia Ophthalmology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Northeast Georgia Ophthalmology, LLC. 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.

When was this NPI record last updated?

The NPPES record for Northeast Georgia Ophthalmology, LLC was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.