DR. JAMES C HAYS MD
NPI 1912970161
Ophthalmology in Atlanta, GA

Q: What is James Hays's NPI number?

The NPI number for James Hays is 1912970161. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is James Hays's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Hays was last updated on February 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment

91.9/100

CMS Quality Rating

800 MOUNT VERNON HWY, SUITE 125, ATLANTA, GA 30328(404) 256-1125(404) 256-1964 Get Directions Write a Review

NPPES record last updated: February 15, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. James C Hays Md NPPES

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

DR. JAMES C HAYS MD (NPI 1912970161) is an individual ophthalmology provider in Atlanta, Georgia, licensed in Georgia (027565) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of University Of Michigan Medical School (1977).

NPPES Registry Identity

NPI1912970161

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JAMES C HAYSCredential: MD

Location Address800 MOUNT VERNON HWY, SUITE 125Atlanta, GA 30328-4295

Mailing Address800 Mount Vernon Hwy, Suite 125Atlanta, GA 30328-4295 · (404) 256-1125 · Fax (404) 256-1964

Phone(404) 256-1125

Fax(404) 256-1964

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1977

Enumeration DateFebruary 8, 2006

Last NPPES UpdateFebruary 15, 2010

✔ NPI 1912970161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in GA · 027565

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.

800 MOUNT VERNON HWY, Atlanta, GA 30328

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Other Identifiers 9

Medicaid000309372NGA

Medicare UPIND45618GA

Medicare PINGRP3819GA

Medicare PIN18BDFSWGA

Medicaid000309372LGA

Medicaid000309372MGA

Medicaid000309372PGA

Medicaid000309372FGA

Medicaid000309372OGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Dr. James C Hays 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 ID1052210754

PECOS Enrollment IDI20100916000465

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 14

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

217 services133 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

144 services129 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.

139 services139 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.

127 services116 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.

110 services79 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

51 services50 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.

47 services33 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.

42 services28 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.

34 services32 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

28 services17 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).

18 services14 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

17 services17 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.

16 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 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

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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.

91.9/100

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

Scored as part of a group practice

Quality

79.16

Promoting Interoperability

Improvement Activities

Cost

94.68

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Other Providers at the Same Location NPPES 12

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

GEORGIA OPHTHALMOLOGY REFERRAL CENTER, LLC

Ophthalmology

800 MOUNT VERNON HWY, SUITE 125
ATLANTA, GA 30328

Fulton County (770) 804-1694

DR. ROBERT DOYLE STULTING M.D.

Ophthalmology

800 MOUNT VERNON HWY, SUITE 125
ATLANTA, GA 30328

Fulton County (404) 256-1125

THOMAS ALAN SPETALNICK OD

Optometrist

800 MOUNT VERNON HWY, SUITE 125
ATLANTA, GA 30328

Fulton County (404) 256-1125

DR. BRIAN D SALMENSON M.D.

Ophthalmology

800 MOUNT VERNON HWY, SUITE 125
ATLANTA, GA 30328

Fulton County (404) 256-1125

JONATHAN WOOLFSON, MD, P.C.

Ophthalmology

800 MOUNT VERNON HWY, SUITE 120
ATLANTA, GA 30328

Fulton County (770) 804-1684

GEORGIA OPHTHALMOLOGY REFERRAL CENTER

Ophthalmology

800 MOUNT VERNON HWY, STE 130
ATLANTA, GA 30328

Fulton County (770) 804-1684

JONATHAN WOOLFSON, MD, P.C.

Ophthalmology

800 MOUNT VERNON HWY, SUITE 100
ATLANTA, GA 30328

Fulton County (770) 804-1684

JASON SCOT BRODY M.D.

Ophthalmology

800 MOUNT VERNON HWY, SUITE 125
ATLANTA, GA 30328

Fulton County (404) 256-1125

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 James Hays's NPI number?

The NPI number for James Hays is 1912970161. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is James Hays located?

James Hays practices at 800 Mount Vernon Hwy Suite 125, Atlanta, GA 30328. The listed phone number is (404) 256-1125.

What is James Hays's specialty?

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

Is James Hays enrolled in Medicare?

Yes. James Hays 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 James Hays accept?

Health plans from Alliant Health Plans, Inc. list James Hays 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 James Hays affiliated with any hospitals?

According to CMS data, James Hays is affiliated with Emory University Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for James Hays was last updated on February 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.