P Praxis·MD
● Active Type 1 · Individual

DR. Bryan G Jefferies, MD

Ophthalmology·Marietta, GA· NPI 1720160922 · Enumerated 2006 · 19 years on NPI
Jefferies is 1 of 40 ophthalmology providers in Marietta and 1 of 807 in Georgia.
NPI age
19 years
Enumerated 2006-10-19
Primary specialty
Ophthalmology
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2010-10-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 807 active ophthalmology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
2480 Windy Hill Rd Se, Suite 400
Marietta, GA 300678644
📞 6782624220fax 6782624221
Mailing address
2480 Windy Hill Rd Se, Suite 400
Marietta, GA 300678644
📞 6782624220fax 6782624221

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 #057122NC license #2008-01722 taxonomy 207W00000X

Identifiers

TypeValueNotes
01 (NC) 151MJ BLUE CROSS OF NC
05 (GA) 901559898A
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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