Individual provider Active NPI

Kelly Honsinger Nilsson, OD

  • Optometrist
  • Columbus, GA
National Provider Identifier
1598040354
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002997 Issued in GA
Practice address
2505 Airport Thruway
Columbus, GA 31904-9114
Phone
(706) 221-1122
NPI assigned
Oct 12, 2011
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X R-256-TA-B08 AL
Optometrist 152W00000X 842 MS
Optometrist 152W00000X OPC004662 FL
Optometrist 152W00000X OPT002997 GA Primary

Addresses

Primary practice location

2505 Airport Thruway
Columbus, GA 31904-9114

Mailing address

320 Steele Creek Dr
Midland, GA 31820-4647
Phone (601) 347-1725

Other practice location 1

3580 Massee Ln Ste G
Columbus, GA 31909-2586
Phone (762) 583-6110

Other practice location 2

1851 Manchester Expy Ste B
Columbus, GA 31904-6761
Phone (706) 653-2020

Other identifiers 4

IdentifierTypeStateIssuer
R256-TA-B08OtherALALABAMA LICENSE NUMBER
842OtherMSMISSISSIPPI LICENSE NUMBER
002997OtherGAGEORGIA LICENSE NUMBER
4662OtherFLFLORIDA LICENSE NUMBER

Other names 1

  • Dr. Kelly Laine Honsinger Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200220000187 GA Practitioner - Optometry 5890947113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2505 Airport Thruway
Suite L
Columbus, GA 31904-9114
Phone (706) 221-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-256-TA-B08ALMDOptometrist
OPC004662FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care of Columbus, Inc Optometrist CurrentSince Sep 27, 2021 Accepting new patients
Victory Vision PC Single Specialty Past Accepting new patients

Locations

2505 Airport Thruway
Ste L
Columbus, GA 31904
Phone (706) 221-1122

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1598040354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 STEELE CREEK DR",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204647",
            "telephone_number": "601-347-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 AIRPORT THRUWAY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049114",
            "telephone_number": "706-221-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3580 Massee Ln Ste G",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319092586",
            "country_code": "US",
            "telephone_number": "762-583-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1851 Manchester Expy Ste B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046761",
            "country_code": "US",
            "telephone_number": "706-653-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "KELLY",
        "middle_name": "HONSINGER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-256-TA-B08",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "842",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC004662",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA LICENSE NUMBER",
            "identifier": "R256-TA-B08",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI LICENSE NUMBER",
            "identifier": "842",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE NUMBER",
            "identifier": "002997",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE NUMBER",
            "identifier": "4662",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HONSINGER",
            "middle_name": "LAINE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.