Marcy Marie McKibbin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002665 Issued in GA

Practice address

3200 Cobb Galleria Pkwy Ste 105
Atlanta, GA 30339-5919

Phone

(901) 351-7899

NPI assigned

Aug 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oconee Vision Group, LLCGroup PAC ID 3678876158, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oconee Vision Group, LLC

  • Optometrist
  • Watkinsville, GA
  • NPI 1780049221
  Medicare reassignment Care Compare group NPD
• Bruce L Hammonds OD PC

  • Optometrist
  • Watkinsville, GA
  • NPI 1689856247
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1437439072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 ECHO DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453527",
            "telephone_number": "901-351-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 COBB GALLERIA PKWY STE 105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395919",
            "telephone_number": "901-351-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBIN",
        "first_name": "MARCY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiu Lin McKenzie, M.D.
• Rick Darr McKeown, M.D.
• Ginair Goodwin McKerrow, LCSW
• Grace McKessy
• Guy Mead McKhann II, M.D.
• Judith Lambert McKinley, M.ED., LPC
• Lesa-Marie McKinley
• McKinney Counseling Services LLC
• Amanda McKinney
• April McKinney

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.

Verify at the official NPI Registry.