Active NPI
Brandy Carroll Augustine, O.D.
- Optometrist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2421
- Practice address
- 895 Canton Rd NE
#100
Marietta, GA 30060-8934 - Phone
- (770) 427-8111
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2421 | GA | Primary |
Addresses
Primary practice location
895 Canton Rd NE
#100
Marietta, GA 30060-8934
Mailing address
3427 River Heights Xing SE
Marietta, GA 30067-4892
Phone (678) 654-6440
Other names 1
- Dr. Brandy Michelle Carroll
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
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10485 Alpharetta St
Roswell, GA 30075-3757
Phone (678) 439-2443
1950 Spectrum Cir SE
Suite 150
Marietta, GA 30067-8479
Phone (770) 952-6851
895 Canton Rd NE
BLDG 100
Marietta, GA 30060-8935
Phone (770) 427-8111
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2421 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marietta Eye Clinic PA | Current | Accepting new patients | |
| Marietta Eye Clinic PA | Current | Accepting new patients | |
| Marietta Eye Clinic, PA | Optometrist | Current | Accepting new patients |
| Marietta Eye Clinic, PA | Past | Accepting new patients |
Locations
47 Highland Pavilion Ct
Ste 101
Atlanta, GA 31193
3939 Roswell Rd
Ste 100
Marietta, GA 30062
Phone (770) 977-8000
1950 Spectrum Cir SE
Ste 150
Marietta, GA 30067
Phone (770) 952-6851
2520 Windy Hill Rd SE
Ste 206
Marietta, GA 30067
Phone (770) 952-6851
2453 Powder Springs Rd SW
Ste 400
Marietta, GA 30064
Phone (770) 801-0700
895 Canton Rd NE
Bldg 100
Marietta, GA 30060
Phone (770) 425-6167
10485 Alpharetta St
Roswell, GA 30075
Phone (678) 439-2443
4025 Johns Creek Pkwy
Ste 200
Suwanee, GA 30024
Phone (678) 439-2450
2990 Eagle Dr
Ste 110
Woodstock, GA 30189
Phone (678) 460-4810
Organizations & group practices 4
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.
-
dba Marietta Eye Clinic Johns Creek
- Ophthalmology Physician
- Suwanee, GA
- NPI 1700675568
-
dba Marietta Eye Surgery at Johns Creek
- Ophthalmologic Surgery Clinic/Center
- Suwanee, GA
- NPI 1225836869
-
dba Marietta Eye Surgery
- Ophthalmologic Surgery Clinic/Center
- Marietta, GA
- NPI 1205857968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1457404170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3427 RIVER HEIGHTS XING SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300674892",
"telephone_number": "678-654-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 CANTON RD NE",
"address_2": "#100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608934",
"telephone_number": "770-427-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINE",
"first_name": "BRANDY",
"middle_name": "CARROLL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "2421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDY",
"last_name": "CARROLL",
"middle_name": "MICHELLE",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.