DR. WILLIAM JESSUP CARROLL MD
NPI 1891130829
Ophthalmology - Retina Specialist in Loganville, GA

Q: What is William Carroll's NPI number?

The NPI number for William Carroll is 1891130829. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Q: What is William Carroll's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for William Carroll was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 03, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3535 HIGHWAY 81, LOGANVILLE, GA 30052(770) 520-8303(478) 500-8205 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2025, Mar 28, 2025, Jul 14, 2022 and 4 more (7 updates tracked since 2018).

On this page

About Dr. William Jessup Carroll Md NPPES

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

DR. WILLIAM JESSUP CARROLL MD (NPI 1891130829) is an individual retina specialist in Loganville, Georgia, licensed in Georgia (91276) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Virginia School Of Medicine (2013).

NPPES Registry Identity

NPI1891130829

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. WILLIAM JESSUP CARROLLCredential: MD

Location Address3535 HIGHWAY 81Loganville, GA 30052-4336

Mailing Address3535 Highway 81Loganville, GA 30052-4336 · (770) 520-8303 · Fax (478) 500-8205

Phone(770) 520-8303

Fax(478) 500-8205

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2013

Enumeration DateMay 3, 2013

Last NPPES UpdateOctober 27, 20257 updates tracked since enumeration

NPPES CertifiedOctober 27, 2025

✔ NPI 1891130829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in GA · 91276

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 91276 (GA)

3535 HIGHWAY 81, Loganville, GA 30052

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1750 Medical Center DrEastman, GA 31023-6736 · Phone (478) 500-8022 · Fax (478) 500-8205

Location 2100 E Greene StMilledgeville, GA 31061-3410 · Phone (478) 223-9001 · Fax (478) 500-8205

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William Jessup Carroll Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800131368

PECOS Enrollment IDI20220610000933

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show William Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peach State Retina, LLC

Same address

Retina Specialist

3535 HIGHWAY 81
Loganville, GA 30052

Reassigned Medicare billing, Georgia enrollment

NPI 1568253110 (770) 520-8303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

1,524 services582 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

1,500 services140 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,002 services223 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

716 services433 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

251 services229 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

165 services62 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

156 services156 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

115 services113 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

99 services99 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

77 services56 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

58 services48 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

45 services44 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

39 services19 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

36 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services30 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRI KOPP NP

Nurse Practitioner (Family)

3535 HIGHWAY 81
LOGANVILLE, GA 30052

Gwinnett County (678) 905-9625

PEACH STATE RETINA, LLC

Ophthalmology (Retina Specialist)

3535 HIGHWAY 81
LOGANVILLE, GA 30052

Gwinnett County (770) 520-8303

EMILY MORTON PA

Physician Assistant

3535 HIGHWAY 81
LOGANVILLE, GA 30052

Gwinnett County (678) 905-9625

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 William Carroll's NPI number?

The NPI number for William Carroll is 1891130829. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is William Carroll located?

William Carroll practices at 3535 Highway 81, Loganville, GA 30052. The listed phone number is (770) 520-8303.

What is William Carroll's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is William Carroll enrolled in Medicare?

Yes. William Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for William Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Carroll reassigns Medicare benefits to Peach State Retina, LLC (Loganville, GA). The 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 William Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Carroll accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list William Carroll 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 William Carroll was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.