Ted A McElroy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

001397 Issued in GA

Practice address

2012 Pineview Ave
Tifton, GA 31794-3035

Phone

(229) 382-4765

Fax

(229) 382-4819

NPI assigned

Aug 18, 2005

Reactivated

Apr 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.72 of 100Reported as individual

Quality

87.44

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.mcelroy@direct.revolutionehr.com

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.

• Ted a McElroy OD, PC

  dba Vision Source Tifton

  • Optometrist
  • Tifton, GA
  • NPI 1578630794
  Medicare reassignment NPD Authorized official
• Family Primecare, LLC

  • Family Medicine Physician
  • Tifton, GA
  • NPI 1811168883
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1518959352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1186",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317931186",
            "telephone_number": "229-382-4765",
            "fax_number": "229-382-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 PINEVIEW AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943035",
            "telephone_number": "229-382-4765",
            "fax_number": "229-382-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "TED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00571513B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410029773",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dr.McElroy@direct.revolutionehr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2012 Pineview Ave",
            "city": "Tifton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317943035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon K McDaniel, MED CCC SLP
• Stephanie Bennett McDaniel, AGNP-C
• Zoye Griffin McDonald, DNP
• Forte David McEachin, MD
• Jill E McEachin, DMD
• David O McGee, D.M.D
• Shaina Linell McGordon, PA-C
• Jason McGovern, DMD
• Lauren Michele McMillan, FNP-C
• Peter Alexander McNally, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.