| Dr Garland Keith Berry, MD | |
|
158 Clinic Ave, Carrollton, GA 30117-4414 | |
| (770) 834-1008 | |
| (770) 834-2531 |
| Full Name | Dr Garland Keith Berry |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 27 Years |
| Location | 158 Clinic Ave, Carrollton, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275597296 | NPI | - | NPPES |
| 766343094B | Medicaid | GA | |
| 766343094E | Medicaid | GA | |
| 766343094F | Medicaid | GA | |
| 766343094D | Medicaid | GA | |
| 766343094A | Medicaid | GA | |
| 766343094C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 31419 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Vision Institute | 4880962091 | 9 |
| Entity Name | Carrollton Eye Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346357928 PECOS PAC ID: 0345235321 Enrollment ID: O20040419000838 |
| Entity Name | Georgia Vision Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689100109 PECOS PAC ID: 4880962091 Enrollment ID: O20170612002627 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Garland Keith Berry, MD 158 Clinic Ave, Carrollton, GA 30117-4414 Ph: (770) 834-1008 | Dr Garland Keith Berry, MD 158 Clinic Ave, Carrollton, GA 30117-4414 Ph: (770) 834-1008 |
Dr. John E Godard, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 158 Clinic Ave, Carrollton, GA 30117 Phone: 770-834-1008 Fax: 770-834-2531 | |
Dr. Roger M Rossomondo, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 158 Clinic Ave, Carrollton, GA 30117 Phone: 770-834-1008 Fax: 770-834-2531 |