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NANCY JEAN NEWMAN MD
NPI 1902863707
Ophthalmology - Neuro-ophthalmology in Atlanta, GA

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
1365B CLIFTON RD NE, BUILDING B STE 4500, ATLANTA, GA 30322(404) 778-3420(404) 778-5128 Get Directions Write a Review

NPPES record last updated: September 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nancy Jean Newman Md NPPES

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

NANCY JEAN NEWMAN MD (NPI 1902863707) is an individual neuro-ophthalmology provider in Atlanta, Georgia, licensed in Georgia (031642) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Harvard Medical School (1984).

NPPES Registry Identity

NPI1902863707
Entity TypeIndividualFemale
Primary Taxonomy207WX0109X
Provider Legal NameNANCY JEAN NEWMANCredential: MD
Location Address1365B CLIFTON RD NE, BUILDING B STE 4500Atlanta, GA 30322
Mailing Address1365b Clifton Rd Ne, Rm 3600Atlanta, GA 30322 · (404) 778-5360 · Fax (404) 778-4849
Phone(404) 778-3420
Fax(404) 778-5128
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1984
Enumeration DateApril 27, 2006
Last NPPES UpdateSeptember 17, 2018
✔ NPI 1902863707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207WX0109X
License✔ Licensed in GA · 031642
Definition
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.
1365B CLIFTON RD NE, Atlanta, GA 30322
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nancy Jean Newman 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 ID8820280787
PECOS Enrollment IDI20101011000294
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.

Areas of Expertise CMS Part B claims 6

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
75 services38 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
57 services45 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services30 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
36 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 20

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

DR. EMILY BEDRICK GRAUBART M.D.
Ophthalmology
1365B CLIFTON RD NE, SUITE B2400
ATLANTA, GA 30322
Dekalb County (404) 778-2020
DR. MICHAEL DATTILO M.D., PH.D.
Ophthalmology (Neuro-ophthalmology)
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5360
NATALIE ANN TOWNSEND O.D.
Optometrist
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2020
DR. EDWARD JOHN ATKINS M.D.
Psychiatry & Neurology (Neurology)
1365B CLIFTON RD NE, B4404
ATLANTA, GA 30322
Dekalb County (404) 778-5360
DR. GHAZALA AMIRALI DATOO O'KEEFE M.D.
Ophthalmology
1365B CLIFTON RD NE, SUITE 4400
ATLANTA, GA 30322
Dekalb County (404) 778-5163
LINDA PATRICIA KELLY M.D., FRCPC
Student in an Organized Health Care Education/Training Program
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5360
DR. DIEM K BUI M.D.
Ophthalmology
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2020
CAROLINE HILL CROMELIN M.D.
Ophthalmology
1365B CLIFTON RD NE, SUITE BT-401A
ATLANTA, GA 30322
Dekalb County (404) 778-4530

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 Nancy Newman's NPI number?

The NPI number for Nancy Newman is 1902863707. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Nancy Newman located?

Nancy Newman practices at 1365B Clifton Rd NE Building B Ste 4500, Atlanta, GA 30322. The listed phone number is (404) 778-3420.

What is Nancy Newman's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Is Nancy Newman enrolled in Medicare?

Yes. Nancy Newman 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.

What insurance does Nancy Newman accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nancy Newman 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.

Is Nancy Newman affiliated with any hospitals?

According to CMS data, Nancy Newman is affiliated with Emory University Hospital and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Newman was last updated on September 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.