NPI age
13 years
Enumerated 2013-04-29
● Active Type 2 · Organization
Amedco Georgia Llc
Amedco Georgia Llc is 1 of 807 ophthalmology organizations in Georgia.
Primary specialty
Ophthalmology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Perreira
Chief Operating Officer
Last NPPES update
2013-04-29
Source: monthly bulk 2026-05
How this organization compares
Across 807 active ophthalmology providers in Georgia.
NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-04Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
1803 Old Ocilla Rd
Tifton, GA 317941617
Mailing address
8076 W Sahara Ave
Las Vegas, NV 891177930
Authorized official
Erica Perreira
Chief Operating Officer
📞 8778810022
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Robert Holme, M.D. Ophthalmology NPI 1336150648
- Kenneth Shealy, O.D. Optometrist NPI 1104436922
- Bret Wagenhorst, M.D. Ophthalmology NPI 1841201134
Specialties
-
Ophthalmology PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 0774710001 | CIGNA - GA |
| 01 (GA) | CC4435 | RR MEDICARE |
| 01 (GA) | GRP2612 | MEDICARE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Tifton Ophthalmology
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 807 Ophthalmology providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →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.