Individual provider Active NPI

Brandy Hobbs Flood

  • Optometrist
  • Lavonia, GA
National Provider Identifier
1124204813
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002405 Issued in GA
Practice address
12877 Jones St Ste a
Lavonia, GA 30553-1828
Phone
(706) 546-9290
Fax
(706) 356-0579
NPI assigned
Jan 14, 2008
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002405 GA Primary

Addresses

Primary practice location

12877 Jones St Ste a
Lavonia, GA 30553-1828

Mailing address

651 S Milledge Ave
Athens, GA 30605-1250
Phone (706) 546-9290

Other practice location 1

5 S McIntosh St
Elberton, GA 30635-2465
Phone (706) 283-7510

Other practice location 2

651 S Milledge Ave
Athens, GA 30605-1250
Phone (706) 546-9290

Other practice location 3

1080 Vend Dr
Suite 100
Bogart, GA 30622-3051
Phone (706) 549-7047

Other practice location 4

1110 Commerce Dr Ste 112
Greensboro, GA 30642-7444
Phone (706) 546-9290

Other identifiers 4

IdentifierTypeStateIssuer
003129184MedicaidGA
170245189AMedicaidGA
202I417479OtherGARR MEDICARE
202I417479OtherGAHUMANA

Other names 1

  • Dr. Brandy Michelle Hobbs Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bflood@georgiacfs.intellechartdirect.net 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
I20090624000540 GA Practitioner - Optometry 8022169499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jing Dong MD PCGroup PAC ID 7113935511, 5 clinicians

Practice addresses (Care Compare)

12877 Jones St
Suite a
Lavonia, GA 30553-1828
Phone (706) 356-0575

Merit-based Incentive Payment System (MIPS)

Final score
92.85 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002405GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jing Dong M.D. P.C. Optometrist CurrentSince Nov 1, 2012 Accepting new patients
Jing Dong M.D. P.C. Optometrist CurrentSince Nov 1, 2012 Accepting new patients
Eugene B. Gabianelli, MD & Assoc. LLC Current Accepting new patients
Optical Shop at Athens Eye Associates, Inc. Past Accepting new patients
The Hearing Center at Athens Eye Past Accepting new patients

Locations

651 S Milledge Ave
Athens, GA 30605
Phone (706) 546-9290

5 S McIntosh St
Elberton, GA 30635
Phone (706) 283-7510

1110 Commerce Dr
Ste 112
Greensboro, GA 30642
Phone (706) 453-1922

12877 Jones St
Lavonia, GA 30553
Phone (706) 356-0575

12877 Jones St
Ste A
Lavonia, GA 30553
Phone (706) 356-0575

355 Clear Creek Pkwy
Ste 1005
Lavonia, GA 30553

1080 Vend Dr
Ste 100
Watkinsville, GA 30677
Phone (706) 549-7047

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • Direct secure messaging: bflood@georgiacfs.intellechartdirect.net
  • Direct secure messaging: blood@espgep.intellechartdirect.net

Organizations & group practices 5

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1124204813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051250",
            "telephone_number": "706-546-9290",
            "fax_number": "706-546-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12877 JONES ST STE A",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305531828",
            "telephone_number": "706-546-9290",
            "fax_number": "706-356-0579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 S McIntosh St",
            "address_purpose": "LOCATION",
            "city": "Elberton",
            "state": "GA",
            "postal_code": "306352465",
            "country_code": "US",
            "telephone_number": "706-283-7510",
            "fax_number": "706-283-7570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 S Milledge Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306051250",
            "country_code": "US",
            "telephone_number": "706-546-9290",
            "fax_number": "706-546-4938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1080 Vend Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bogart",
            "state": "GA",
            "postal_code": "306223051",
            "country_code": "US",
            "telephone_number": "706-549-7047",
            "fax_number": "706-613-5395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Commerce Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306427444",
            "country_code": "US",
            "telephone_number": "706-546-9290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "BRANDY",
        "middle_name": "HOBBS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003129184",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170245189A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "202I417479",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "202I417479",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bflood@georgiacfs.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "EHR EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12877 Jones St Ste A",
            "city": "Lavonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305531828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "HOBBS",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lavonia, GA

Sources for this page

Verify at the official NPI Registry.