Individual provider Active NPI

Jodi Shaun Holbrook, OD

  • Optometrist
  • Chattanooga, TN
National Provider Identifier
1225089758
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000002312 Issued in TN
Practice address
3428 Cummings Hwy
Chattanooga, TN 37419-2309
Phone
(423) 821-1132
Fax
(423) 821-1073
NPI assigned
May 12, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD0000002312 TN Primary

Addresses

Primary practice location

3428 Cummings Hwy
Chattanooga, TN 37419-2309

Mailing address

7514 Scenic Hwy
Rising Fawn, GA 30738-4376
Phone (706) 398-3355

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
I20240828001295 GA Practitioner - Optometry 3375561202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Georgia Vision Center IncGroup PAC ID 8628148327, 3 clinicians

Practice addresses (Care Compare)

8390 N Hwy 27
Rock Spring, GA 30739-2103
Phone (706) 375-1720

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD0000002312TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Vision Center Inc Optometrist CurrentSince Aug 1, 2024 Accepting new patients

Locations

8390 N Highway 27
Rock Spring, GA 30739
Phone (706) 375-1720

Organizations & group practices 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225089758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 SCENIC HWY",
            "city": "RISING FAWN",
            "state": "GA",
            "postal_code": "307384376",
            "telephone_number": "706-398-3355",
            "fax_number": "423-821-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 CUMMINGS HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374192309",
            "telephone_number": "423-821-1132",
            "fax_number": "423-821-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "JODI",
        "middle_name": "SHAUN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000002312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.