Kylea Carver McCay
Individual provider Active NPI Optometrist · Cornelia, GA
NPI 1336972710 · NPPES record last updated Aug 21, 2024
Key facts
- NPI
- 1336972710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT003612 (GA)
- Practice address
- 118 Vision Dr
Cornelia, GA 30531-5737 - Phone
- (706) 776-2020
- NPI assigned
- Aug 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Georgia Vision Care LLC
Dalton Family Eyecare, Inc.
Practice addresses (Care Compare)
118 Vision Dr
Cornelia, GA 30531-5737
Phone (706) 776-6311
1801 Hwy 129 S
Cleveland, GA 30528
Phone (706) 219-4444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20241213001288 | GA | Practitioner - Optometry | 0749721645 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Vision Care LLC | Optometrist | Current | Accepting new patients |
| Dalton Family Eyecare, Inc. | Optometrist | Current |
Accepting new patients |
| Northeast Georgia Vision Care LLC | Optometrist | Current |
Accepting new patients |
Locations
1801 Highway 129 S
Cleveland, GA 30528
Phone (706) 219-4444
118 Vision Dr
Cornelia, GA 30531
Phone (706) 776-2020
134 Ansley Dr
Ste 300
Dahlonega, GA 30533
Phone (706) 219-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003612 | GA | Yes |
Addresses
Primary practice location
118 Vision Dr
Cornelia, GA 30531-5737
Mailing address
71 Towering Oaks Dr
Cleveland, GA 30528-1970
Other providers in Cornelia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2024. 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.