Janelle Lynette Davison, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002350 Issued in GA

Practice address

2450 Atlanta Rd SE Ste 200
Smyrna, GA 30080-2073

Phone

(770) 428-0414

Fax

(770) 428-0415

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Brilliant Eyes, LLCGroup PAC ID 0042406001, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIBIDD/Endpoint/DIBIDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brilliant Eyes, LLC

  • Optometrist
  • Smyrna, GA
  • NPI 1093948309
  Medicare reassignment Care Compare group NPD Authorized official
• Visionary Dry Eye Institute

  • Corneal and Contact Management Optometrist
  • Marietta, GA
  • NPI 1134945447
  Medicare reassignment NPD Authorized official
• Mobley Riverdale Eye Clinic Inc

  • Optometrist
  • Fayetteville, GA
  • NPI 1407027683
  NPD (past)
• TJ Roberts, LLC

  • Optometrist
  • Fayetteville, GA
  • NPI 1386200046
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1053475855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA RD SE STE 200",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802073",
            "telephone_number": "770-428-0414",
            "fax_number": "770-428-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA RD SE STE 200",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802073",
            "telephone_number": "770-428-0414",
            "fax_number": "770-428-0415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Windy Hill Rd SE Ste 320",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300678655",
            "country_code": "US",
            "telephone_number": "770-428-0414",
            "fax_number": "770-428-0415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "JANELLE",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjanelle@direct.revolutionehr.com",
            "affiliation": "N",
            "endpointDescription": "Referral",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2450 Atlanta Rd SE Ste 200",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300802073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Davis, LPC
• Aysha Davis
• Jane Moulder Davis, LPC
• Larry Matthew Davis, NP-C
• Richard Kyle Davis, PHARMD
• Derrick Lamonye Dawson Jr.
• Fui Dawson, DPM
• Duane D Day, DC
• Ryan T. Day, LPC, NCC
• Richard John De Carlo, D.C.

• Optometrist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.