P Praxis·MD
● Active Type 1 · Individual

Jason Scot Brody, M.D.

Ophthalmology·Atlanta, GA· NPI 1427052497 · Enumerated 2005 · 20 years on NPI
Brody is 1 of 169 ophthalmology providers in Atlanta and 1 of 807 in Georgia.
NPI age
20 years
Enumerated 2005-06-08
Primary specialty
Ophthalmology
Plus 1 subspecialty
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2009-12-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 807 active ophthalmology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
800 Mount Vernon Hwy, Suite 125
Atlanta, GA 303284295
📞 4042561125fax 4042561964
Mailing address
1065 Jodeco Rd
Stockbridge, GA 302814953
📞 6782846314fax 6782846282

Specialties

  • Ophthalmology Primary
    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...
    GA license #063298 taxonomy 207W00000X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    IL license #036110895 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (SC) PA1603
01 (SC) 1522 MEDICARE ID
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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