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SOUTH GEORGIA EYE PARTNERS PC
NPI 1922321728
Ophthalmology in Valdosta, GA

Active since March 08, 2010CLIA 11D2068058 · Waiver
4120 N VALDOSTA RD STE A, VALDOSTA, GA 31602(229) 244-2068 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Georgia Eye Partners Pc NPPES

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

SOUTH GEORGIA EYE PARTNERS PC (NPI 1922321728) is a healthcare organization registered as an ophthalmology in Valdosta, Georgia and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through October 27, 2027, maintains 4 additional practice locations, and lists Scott H Petermann, Owner, as its authorized official.

NPPES Registry Identity

NPI1922321728
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTH GEORGIA EYE PARTNERS PC
Location Address4120 N VALDOSTA RD STE AValdosta, GA 31602-4973
Mailing Address4380 Kings WayValdosta, GA 31602-6921 · (229) 244-2068
Phone(229) 244-2068
Organization SubpartNo
Authorized OfficialScott H PetermannOwner · (229) 244-2068
Enumeration DateMarch 8, 2010
Last NPPES UpdateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1922321728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X
4120 N VALDOSTA RD STE A, Valdosta, GA 31602
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Secondary Practice Locations 4

Location 1416 Tift Ave NTifton, GA 31794-4466 · Phone (229) 391-4180
Location 2234 SW Range AveMadison, FL 32340-2323 · Phone (850) 973-3937
Location 3115 5th St SEMoultrie, GA 31768-4834 · Phone (229) 890-8016
Location 4200 Doctors Dr Ste 105Douglas, GA 31533-2202 · Phone (912) 384-1840

Other Identifiers 2

OtherDQ3695GA · Railroad Medicare
Medicaid257511765AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2068058

South Georgia Eye Partners · Douglas, GA
Active · expires Oct 27, 2027
CLIA Number11D2068058
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorScott H. Petermann
Laboratory Phone(912) 384-1840
Laboratory LocationSouth Georgia Eye Partners200 Doctors Drive, Suite 105, Douglas, GA 31533
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories South Georgia Eye Partners PC carries, from the Medicare DMEPOS supplier directory.

South Georgia Eye Partners PC

DMEPOS supplier · Valdosta, GA
✔

Accepts Medicare assignment

South Georgia Eye Partners PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20510927
Medicare Participant SinceOctober 15, 2013
Supplier Location4120 N Valdosta Rd Ste AValdosta, GA 31602
Phone(229) 262-1107
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

DR. ANTHONY P JOHNSON M.D.
Ophthalmology
4120 N VALDOSTA RD STE A
VALDOSTA, GA 31602
Lowndes County (229) 244-2068
SARA BROWNING COOPER OD
Optometrist
4120 N VALDOSTA RD STE A
VALDOSTA, GA 31602
Lowndes County (299) 244-2068
JAMES GARRETT WEBSTER M.D.
Ophthalmology
4120 N VALDOSTA RD STE A
VALDOSTA, GA 31602
Lowndes County (229) 244-2068

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 South Georgia Eye Partners PC's NPI number?

The NPI number for South Georgia Eye Partners PC is 1922321728. It was assigned to this organization in the NPPES registry on March 8, 2010.

Where is South Georgia Eye Partners PC located?

South Georgia Eye Partners PC is located at 4120 N Valdosta Rd Ste A, Valdosta, GA 31602. The listed phone number is (229) 244-2068.

What is South Georgia Eye Partners PC's specialty?

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

Does South Georgia Eye Partners PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, South Georgia Eye Partners PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does South Georgia Eye Partners PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2068058) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Georgia Eye Partners PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list South Georgia Eye Partners PC 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 South Georgia Eye Partners PC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.