Active NPI
Deborah F. McDonald, O.D.
- Optometrist
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001047
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41CZDLB | Other | MEDICARE PTAN | |
| 000345694H | Medicaid | GA | |
| 00345694I | Medicaid | GA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT001915 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Eye Partners PC | Optometrist | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.