P Praxis·MD
● Active Type 2 · Organization

Peach State Retina, Llc

Ophthalmology·Loganville, GA· NPI 1568253110 · Enumerated 2025 · 1 years on NPI
Peach State Retina, Llc is 1 of 26 ophthalmology organizations in Georgia.
NPI age
1 years
Enumerated 2025-05-14
Primary specialty
Ophthalmology
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Carroll
Owner
Last NPPES update
2025-10-27
Source: monthly bulk 2026-05

How this organization compares

Across 26 active ophthalmology providers in Georgia.

NPI age
1 years
↓ 15 yr below median
Practice locations
3
2 secondary on file
Subspecialties
0

NPI lifetime · 2025 → 2026

2025-05Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
3535 Highway 81
Loganville, GA 300524336
📞 7705208303fax 4785008205
Mailing address
3535 Highway 81
Loganville, GA 300524336
📞 7705208303fax 4785008205

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
100 E Greene St
Milledgeville, GA 310613410
📞 4782239001fax 4785008205
Location 3
750 Medical Center Dr
Eastman, GA 310236736
📞 4785008022fax 4785008205

Authorized official

William Carroll, MD
Owner
📞 4783747184

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Ophthalmology Primary
    An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
    taxonomy 207WX0107X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address. Plus 2 secondary practice locations.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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