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