Peach State Retina, LLC
NPI 1568253110 · Retina Specialist (Ophthalmology) Physician · Loganville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peach State Retina, LLC is a Retina Specialist (Ophthalmology) Physician organization in Loganville, GA (NPI 1568253110).
Provider details
- NPI number
- 1568253110
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Carroll, Owner(478) 374-7184
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 750 Medical Center DrEastman, GA 31023-6736Phone: (478) 500-8022Fax: (478) 500-8205
- 100 E Greene StMilledgeville, GA 31061-3410Phone: (478) 223-9001Fax: (478) 500-8205
Registry dates
- Enumerated
- 2025-05-14
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Frequently asked questions
- What is Peach State Retina, LLC's NPI number?
- Peach State Retina, LLC's National Provider Identifier (NPI) is 1568253110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peach State Retina, LLC?
- Peach State Retina, LLC is classified in the NPPES registry as Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Peach State Retina, LLC located?
- Peach State Retina, LLC's practice location on file with NPPES is 3535 Highway 81, Loganville, GA 30052-4336.
- What is Peach State Retina, LLC's phone number?
- The practice phone number listed in the NPPES registry for Peach State Retina, LLC is (770) 520-8303.
- Does Peach State Retina, LLC accept Medicare?
- Peach State Retina, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peach State Retina, LLC?
- The authorized official listed on Peach State Retina, LLC's NPPES record is William Carroll, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peach State Retina, LLC's NPI active?
- Yes — Peach State Retina, LLC's NPI (1568253110) is active in the NPPES registry as of the last update on 2025-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.