Dr. Bryan G Jefferies, MD
Ophthalmology in Marietta, GA. Individual provider (NPI-1).
NPI number1720160922
StatusActive
Last updated in NPPESOct 6, 2010
Details
- NPI
- 1720160922
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bryan G Jefferies
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2006
- Last updated
- Oct 6, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 057122 | GA | Yes |
| 207W00000X | Ophthalmology | 2008-01722 | NC |
Practice location
2480 Windy Hill Rd SeSuite 400
Marietta, GA 30067-8644
Phone 678-262-4220 · Fax 678-262-4221
Mailing address
2480 Windy Hill Rd SeSuite 400
Marietta, GA 30067-8644
Phone 678-262-4220 · Fax 678-262-4221
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