Individual provider Active NPI

Cole McDougall

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1619723194
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003584 Issued in GA
Practice address
1100 Johnson Fy Rd NE Ste 108
Atlanta, GA 30342-1733
Phone
(404) 531-9988
NPI assigned
Apr 25, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT003584 GA Primary

Addresses

Primary practice location

1100 Johnson Fy Rd NE Ste 108
Atlanta, GA 30342-1733

Mailing address

1100 Johnson Fy Rd NE BLDG 1
Atlanta, GA 30342-1709

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
I20241106000797 GA Practitioner - Optometry 6204360886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 Johnson Ferry Rd
Suite 105
Atlanta, GA 30342-1733
Phone (404) 531-9988

200 E Ponce de Leon Ave
Suite 200
Decatur, GA 30030-3468
Phone (404) 298-5557

550 Peachtree St NE
Suite 1500
Atlanta, GA 30308-2248
Phone (404) 897-6810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene B. Gabianelli, MD & Assoc. LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Eugene B Gabianelli MD & Assoc LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Perimeter Vision Care, LLC Optometrist Past Accepting new patients

Locations

550 Peachtree St NE
Ste 1500
Atlanta, GA 30308
Phone (404) 897-6710

200 E Ponce de Leon Ave
Ste 200
Decatur, GA 30030
Phone (404) 298-5557

10080 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (404) 897-6810

1100 Johnson Fy Rd NE
Ste 108
Sandy Springs, GA 30342
Phone (404) 531-9988

120 Stonebridge Pkwy
Ste 415
Woodstock, GA 30189
Phone (404) 953-4044

500 Ross St
#15404
Pittsburgh, PA 15262

Interoperability endpoints

  • Direct secure messaging: cmcdougall@espgep.intellechartdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1619723194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FY RD NE BLDG 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709",
            "fax_number": "470-264-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FY RD NE STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421733",
            "telephone_number": "404-531-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGALL",
        "first_name": "COLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.