Individual provider Active NPI

Alicea Hill, O.D.

  • Optometrist
  • Hattiesburg, MS
National Provider Identifier
1104268713
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
877 Issued in MS
Practice address
6 Ridgeside
Hattiesburg, MS 39402-7879
Phone
(601) 942-7996
NPI assigned
Jul 24, 2013
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 877 MS Primary
Optometrist 152W00000X OPT003388 GA

Addresses

Primary practice location

6 Ridgeside
Hattiesburg, MS 39402-7879

Mailing address

PO Box 207173
Dallas, TX 75320-7173
Phone (636) 200-4393

Other practice location 1

1013 E Freeway Dr SE
Conyers, GA 30094-5965
Phone (770) 922-7906

Other practice location 2

4320 Suwanee Dam Rd Ste 2100
Suwanee, GA 30024-1949
Phone (770) 614-8577

Other practice location 3

5777 Old Winder Hwy
Braselton, GA 30517-1603
Phone (770) 534-5305

Other practice location 4

2427 Heritage Vlg Ste 4
Snellville, GA 30078-2699
Phone (770) 978-2020

Other practice location 5

8400 Holcomb Bridge Rd Ste 440
Alpharetta, GA 30022-1837
Phone (770) 645-1222

Other practice location 6

3820 Pleasant Hill Rd Ste 5
Duluth, GA 30096-1429
Phone (770) 476-9585

Other practice location 7

4153 Lawrenceville Hwy NW Ste 5
Lilburn, GA 30047-2854
Phone (770) 921-4707

Other practice location 8

1675 Cumberland Pkwy SE Ste 103
Smyrna, GA 30080-6360
Phone (770) 438-0202

Other identifiers 1

IdentifierTypeStateIssuer
01386218MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahill71304@directpatientrecord.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220726000448 GA Practitioner - Optometry 5597995852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Eye Group PCGroup PAC ID 2567455868, 51 clinicians

Practice addresses (Care Compare)

2240 Hamilton Creek Pkwy
Suite 1100
Dacula, GA 30019-4555
Phone (678) 892-2020

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003388GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eye Group PC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist CurrentSince Jul 8, 2022 Accepting new patients
Thomas Eye Group PC CurrentSince Jan 1, 2024 Accepting new patients
Thomas Eye Group PC Optometrist Current Accepting new patients
Thomas Eye Group PC Past Accepting new patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients
Clarkson Optometry Georgia Inc Optometrist PastSince Jul 10, 2022 Accepting new patients

Locations

8400 Holcomb Bridge Rd
Ste 440
Alpharetta, GA 30022
Phone (770) 645-1222

5777 Old Winder Hwy
Braselton, GA 30517
Phone (770) 534-5305

1013 E Freeway Dr SE
Conyers, GA 30094
Phone (770) 922-7906

2240 Hamilton Creek Pkwy
Ste 1100
Dacula, GA 30019
Phone (404) 582-0096

3820 Pleasant Hill Rd
Ste 5
Duluth, GA 30096
Phone (770) 476-9585

4153 Lawrenceville Hwy NW
Ste 5
Lilburn, GA 30047
Phone (770) 921-4707

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

1675 Cumberland Pkwy SE
Ste 103
Smyrna, GA 30080
Phone (770) 438-0202

2427 Heritage Vlg
Ste 4
Snellville, GA 30078
Phone (770) 978-2020

4320 Suwanee Dam Rd
Ste 2100
Suwanee, GA 30024
Phone (770) 614-5877

Interoperability endpoints

  • Direct secure messaging: ahill@teg.emadirect.md
  • Direct secure messaging: ahill71304@directpatientrecord.com
  • Direct secure messaging: alicea.hill@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1104268713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207173",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RIDGESIDE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027879",
            "telephone_number": "601-942-7996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 E Freeway Dr SE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300945965",
            "country_code": "US",
            "telephone_number": "770-922-7906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Suwanee Dam Rd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241949",
            "country_code": "US",
            "telephone_number": "770-614-8577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5777 Old Winder Hwy",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305171603",
            "country_code": "US",
            "telephone_number": "770-534-5305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2427 Heritage Vlg Ste 4",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300782699",
            "country_code": "US",
            "telephone_number": "770-978-2020",
            "fax_number": "470-508-2002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8400 Holcomb Bridge Rd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300221837",
            "country_code": "US",
            "telephone_number": "770-645-1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3820 Pleasant Hill Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300961429",
            "country_code": "US",
            "telephone_number": "770-476-9585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4153 Lawrenceville Hwy NW Ste 5",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300472854",
            "country_code": "US",
            "telephone_number": "770-921-4707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1675 Cumberland Pkwy SE Ste 103",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806360",
            "country_code": "US",
            "telephone_number": "770-438-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "ALICEA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "877",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01386218",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahill71304@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "415 S 28th Ave",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394017246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.