Individual provider Active NPI

Deborah F. McDonald, O.D.

  • Optometrist
  • Valdosta, GA
National Provider Identifier
1306825450
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001047 Issued in GA
Practice address
3001 N Ashley St
Valdosta, GA 31602-1709
Phone
(229) 247-8484
Fax
(229) 247-7996
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT001047 GA Primary
Optometrist 152W00000X OPT001915 FL

Addresses

Primary practice location

3001 N Ashley St
Valdosta, GA 31602-1709

Mailing address

3001 N Ashley St
Valdosta, GA 31602-1709
Phone (229) 247-8484

Other identifiers 3

IdentifierTypeStateIssuer
41CZDLBOtherMEDICARE PTAN
000345694HMedicaidGA
00345694IMedicaidGA

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
I20040831001464 GA Practitioner - Optometry 0648245761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Eye Partners PCGroup PAC ID 3375671589, 7 clinicians

Practice addresses (Care Compare)

200 Doctors Dr
Suite M
Douglas, GA 31533-2202
Phone (912) 384-1840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT001915FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Georgia Eye Partners PC Optometrist CurrentSince Oct 3, 2020 Accepting new patients
Gainesville Eye Associates LLC Optometrist Current Accepting new patients

Locations

200 Doctors Dr
Douglas, GA 31533

200 Doctors Dr
Ste M
Douglas, GA 31533
Phone (912) 384-1840

416 Tift Ave N
Tifton, GA 31794
Phone (229) 386-8800

4120 N Valdosta Rd
Ste A
Valdosta, GA 31602
Phone (229) 244-2068

3001 N Ashley St
Valdosta, GA 31602
Phone (229) 247-8484

2704 N Oak St
Valdosta, GA 31602
Phone (229) 245-7070

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

Interoperability endpoints

  • Direct secure messaging: dmcdonald@esp.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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1306825450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N ASHLEY ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021709",
            "telephone_number": "229-247-8484",
            "fax_number": "229-247-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N ASHLEY ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021709",
            "telephone_number": "229-247-8484",
            "fax_number": "229-247-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "DEBORAH",
        "middle_name": "F.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001047",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPT001915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "41CZDLB",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000345694H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00345694I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.