P Praxis·MD
● Active Type 2 · Organization

Southeast Retina Center Pc

Ophthalmology·Augusta, GA· NPI 1760467682 · Enumerated 2005 · 20 years on NPI
Southeast Retina Center Pc is 1 of 807 ophthalmology organizations in Georgia.
NPI age
20 years
Enumerated 2005-12-14
Primary specialty
Ophthalmology
Practice locations
4
3 secondary on file
Status
Active
No deactivations on record
Authorized official
Becker
Cfo
Last NPPES update
2026-04-28
Source: monthly bulk 2026-05

How this organization compares

Across 807 active ophthalmology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
Practice locations
4
3 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
3685 Wheeler Rd, Ste 201
Augusta, GA 309096440
📞 7066500061fax 7066500064
Mailing address
Po Box 11407
Birmingham, AL 352468575
📞 8643591308fax 2394963939

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
311 Fluker St
Thomson, GA 308242108
📞 7066500061
Location 3
111 Fieldstone Dr, Ste 100
Milledgeville, GA 310617108
📞 7066500061
Location 4
6061 Lake Oconee Pkwy
Greensboro, GA 306423798
📞 7066500061

Authorized official

Kevin Becker
Cfo
📞 4702432259

Individual providers at this organization

4 individual providers on file at this primary practice address.

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...
    taxonomy 207W00000X

Identifiers

TypeValueNotes
05 (SC) GPA 668
05 (GA) 000293719A
05 (GA) 000605283B

Practice context

Multi-provider organization. 4 individual providers on file at this primary address. Plus 3 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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