Individual provider Active NPI

Hana Gabriella Coleman, O.D.

  • Optometrist
  • Blairsville, GA
National Provider Identifier
1104440379
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003236 Issued in GA
Practice address
17 Home Town Way
Blairsville, GA 30512-3200
Phone
(706) 896-3303
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003236 GA Primary

Addresses

Primary practice location

17 Home Town Way
Blairsville, GA 30512-3200

Mailing address

17 Home Town Way
Blairsville, GA 30512-3200
Phone (706) 487-8366

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Blairsville
Other URL Hiawassee

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
I20200928003217 GA Practitioner - Optometry 1456774363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Kentucky School of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Dalton Family Eyecare, Inc.Group PAC ID 2466476270, 11 clinicians
Southeast Eye Group LLCGroup PAC ID 9234553462, 4 clinicians

Practice addresses (Care Compare)

17 Home Town Way
Blairsville, GA 30512-3200
Phone (706) 487-8366

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003236GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dalton Family Eyecare, Inc. Optometrist CurrentSince Nov 10, 2025 Accepting new patients
Southeast Eye Group LLC Optometrist CurrentSince Jun 13, 2020 Accepting new patients

Locations

17 Home Town Way
Blairsville, GA 30512
Phone (706) 487-8366

1801 Highway 129 S
Cleveland, GA 30528
Phone (706) 219-4444

134 Ansley Dr
Ste 300
Dahlonega, GA 30533
Phone (706) 219-4444

344 S Main St
Hiawassee, GA 30546
Phone (706) 862-1543

Interoperability endpoints

  • Direct secure messaging: harencibia@gvc.intellechartdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1104440379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HOME TOWN WAY",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123200",
            "telephone_number": "706-487-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HOME TOWN WAY",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123200",
            "telephone_number": "706-896-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "HANA",
        "middle_name": "GABRIELLA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Blairsville",
            "affiliation": "Y",
            "address_1": "17 Home Town Way",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305123200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hiawassee",
            "affiliation": "N",
            "address_1": "17 Home Town Way",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305123200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.