Individual provider Active NPI

Kenyatta D. Brantley, O.D.

  • Optometrist
  • Sharpsburg, GA
National Provider Identifier
1205907565
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003563 Issued in GA
Practice address
3339 Highway 34 E
Sharpsburg, GA 30277-3564
Phone
(770) 304-2025
NPI assigned
Nov 10, 2006
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003563 GA Primary
Corneal and Contact Management Optometrist 152WC0802X OPT003563 GA

Addresses

Primary practice location

3339 Highway 34 E
Sharpsburg, GA 30277-3564

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172
Phone (636) 200-4393

Other practice location 1

37 Calumet Parkway BLDG G Suite 101
Attention: Dr. Ken Brantley
Newnan, GA 30263
Phone (229) 800-4712

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
I20240604004127 GA Practitioner - Optometry 9436146883 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry Georgia IncGroup PAC ID 5193732949, 14 clinicians
Depoe Eye Center PCGroup PAC ID 8224927702, 14 clinicians

Practice addresses (Care Compare)

3339 Hwy 34 E
Suite a
Sharpsburg, GA 30277-3565
Phone (770) 304-2025

681 S 8TH St
Griffin, GA 30224-4243
Phone (770) 228-2020

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
OPT003563GAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Atlanta Cornea Care Center - Dr. Kenyatta Brantley, Optometrist (P.C.) Corneal and Contact Management CurrentSince Feb 2, 2025 Accepting new patients
Thomas Eye Group PC Optometrist CurrentSince May 21, 2024 Accepting new patients
Depoe Eye Center PC Optometrist CurrentSince Jun 20, 2025 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist CurrentSince Dec 12, 2025 Accepting new patients
Thomas Eye Group PC Single Specialty CurrentSince May 21, 2024 Accepting new patients
Thomas Eye Group PC Optometrist Current Accepting new patients
Mobley Eye Care of Sharpsburg Optometrist CurrentSince Dec 14, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center PastSince Dec 12, 2025 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist Past Accepting new patients
Advent Eye Care Center, LLC Corneal and Contact Management Past Accepting new patients

Locations

8400 Holcomb Bridge Rd
Alpharetta, GA 30022
Phone (678) 777-7586

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

2345 E West Connector
Austell, GA 30106
Phone (770) 941-2323

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

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

3820 Pleasant Hill Rd
Duluth, GA 30096

681 S 8th St
Griffin, GA 30224
Phone (770) 228-2020

300 N Main St
Ste 301
Jonesboro, GA 30236
Phone (770) 603-0063

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

2700 Highway 34 E
Ste 300
Newnan, GA 30265
Phone (678) 423-7700

37 Calumet Pkwy
Ste G101
Newnan, GA 30263
Phone (229) 800-4712

120 Peachtree East Shopping Ctr
Peachtree City, GA 30269
Phone (404) 705-5755

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

5901 Peachtree Dunwoody Rd
Ste 500
Sandy Springs, GA 30328
Phone (678) 781-7373

3339 Highway 34 E
Sharpsburg, GA 30277
Phone (770) 252-1848

3339 Highway 34 E
Ste A
Sharpsburg, GA 30277
Phone (770) 304-2025

1675 Cumberland Pkwy SE
Smyrna, GA 30080
Phone (770) 437-0780

550 Eagles Landing Pkwy
Ste 208
Stockbridge, GA 30281
Phone (770) 415-8982

4320 Suwanee Dam Rd
Suwanee, GA 30024

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

Organizations & group practices 10

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1205907565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3339 HIGHWAY 34 E",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773564",
            "telephone_number": "770-304-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 CALUMET PARKWAY BLDG G SUITE 101",
            "address_2": "ATTENTION: DR. KEN BRANTLEY",
            "address_purpose": "LOCATION",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30263",
            "country_code": "US",
            "telephone_number": "229-800-4712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "KENYATTA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003563",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "OPT003563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharpsburg, GA

Sources for this page

Verify at the official NPI Registry.