Cassidy Coleman, OD
Individual provider Active NPI Optometrist · Blairsville, GA
NPI 1316615743 · NPPES record last updated Sep 8, 2026
Key facts
- NPI
- 1316615743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT003385 (GA)
- Practice address
- 17 Home Town Way
Blairsville, GA 30512-3200 - Phone
- (706) 487-8366
- NPI assigned
- Aug 31, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Dalton Family Eyecare, Inc.
Southeast Eye Group LLC
Practice addresses (Care Compare)
17 Home Town Way
Blairsville, GA 30512-3200
Phone (706) 487-8366
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 56 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211015001535 | NC | Practitioner - Optometry | 3577961960 | |
| I20221207002083 | GA | Practitioner - Optometry | 3577961960 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2656 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| OPT003385 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dalton Family Eyecare, Inc. | Optometrist | Current |
Accepting new patients |
| Southeast Eye Group LLC | Optometrist | Current |
Accepting new patients |
| Georgia Vision Center | Optometrist | Current | Accepting new patients |
Locations
17 Home Town Way
Blairsville, GA 30512
Phone (706) 487-8366
21 Legacy Pt
Clayton, GA 30525
Phone (706) 782-3535
1801 Highway 129 S
Cleveland, GA 30528
Phone (706) 219-4444
134 Ansley Dr
Ste 300
Dahlonega, GA 30533
Phone (706) 219-4444
Interoperability endpoints
- ccoleman@gvc.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003385 | GA | Yes |
Addresses
Primary practice location
17 Home Town Way
Blairsville, GA 30512-3200
Mailing address
1876 Drip Dr
Hiawassee, GA 30546-2009
Phone (828) 371-8770
Other practice location 1
1091 Hwy 64 W
Hayesville, NC 28904-9657
Phone (828) 389-3511
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.