Individual provider Active NPI

Shenita Freeney, O.D.

  • Optometrist
  • Marietta, GA
National Provider Identifier
1477928505
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003289 Issued in GA
Practice address
895 Canton Rd NE BLDG 100
Marietta, GA 30060-8935
Phone
(770) 427-8111
NPI assigned
Dec 1, 2015
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2096 AL
Optometrist 152W00000X OPT003289 GA Primary

Addresses

Primary practice location

895 Canton Rd NE BLDG 100
Marietta, GA 30060-8935

Mailing address

483 Seed Farm Rd.
Sacaton, AZ 85147

Other practice location 1

483 Seed Farm Rd.
Sacaton, AZ 85147
Phone (520) 562-3321 ext. 7960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160119002683 AZ Practitioner - Optometry 8527361963 Reassigns benefits to 1 organization
I20201201001686 GA Practitioner - Optometry 8527361963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2096AZMDDental Hygienist
2096ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Optometrist Current Accepting new patients
Eye Physicians & Surgeons of Arizona, PC CurrentSince Aug 1, 2016 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Mar 1, 2022 Accepting new patients
The Emory Clinic Inc CurrentSince Mar 1, 2022 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Mar 1, 2022 Accepting new patients
Emory Health Care Past Accepting new patients
Retinal Consultants of Arizona LTD Past Accepting new patients

Locations

4236 N Verrado Way
Ste 103
Buckeye, AZ 85396
Phone (623) 792-1955

6677 W Thunderbird Rd
Ste 101
Glendale, AZ 85306

6677 W Thunderbird Rd
Ste F101
Glendale, AZ 85306

10603 N Hayden Rd
Ste H100
Scottsdale, AZ 85260

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1615/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sfreeney91592@direct.emory.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1477928505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 SEED FARM RD.",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "85147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 CANTON RD NE BLDG 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608935",
            "telephone_number": "770-427-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 Seed Farm Rd.",
            "address_purpose": "LOCATION",
            "city": "Sacaton",
            "state": "AZ",
            "postal_code": "85147",
            "country_code": "US",
            "telephone_number": "520-562-3321 x7960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREENEY",
        "first_name": "SHENITA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "2096",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.