South Atlantic Retina PLLC
NPI 1033092366ActiveOrganization· Ophthalmology, Retina Specialist· Jacksonville, FL
Ophthalmology, Retina Specialist in Jacksonville, Florida, registered in NPPES in July 2025. The authorized official on file is Ahmed M. Elkeeb, MD, MBA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033092366 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2025 |
| Last updated in NPPES | May 27, 2026 |
| Certified by provider | May 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology, Retina Specialist Primary | 207WX0107X | — | — |
| Ophthalmology | 207W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Ophthalmology, Retina Specialist providers in Jacksonville
- 1609398916
- 1114247079
- 1568648699
- 1437143666
- 1114916368