Jessica Grimes Patton, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003191 Issued in GA

Practice address

868 York Ave SW
Atlanta, GA 30310-2750

Phone

(404) 752-1400

Fax

(404) 755-7400

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Danielle Grimes Former name

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Family Health Centers of Georgia, IncGroup PAC ID 2062406903, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Family Health Centers of Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1720080989

  GA

  Medicare reassignment Care Compare group NPD
• Glenn S Shear MDPC

  • Specialist
  • Riverdale, GA
  • NPI 1063614204

  GA

  Medicare reassignment NPD
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Rincon, GA
  • NPI 1437294592

  GA, Optometrist

  Medicare reassignment NPD
• The Family Health Centers of Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • McDonough, GA
  • NPI 1982489555
  Care Compare group NPD
• The Family Health Centers of Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Morrow, GA
  • NPI 1285353946
  Care Compare group
• The Family Health Centers of Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Marietta, GA
  • NPI 1285727396
  Care Compare group
• The Family Health Centers of Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1790404457
  Care Compare group
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Canton, GA
  • NPI 1023481207
  NPD
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Tyrone, GA
  • NPI 1275326571
  NPD
• Sheer Vision Center LLC

  • Durable Medical Equipment & Medical Supplies
  • Stockbridge, GA
  • NPI 1831391077
  NPD (past)

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1639728975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 YORK AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102750",
            "telephone_number": "404-752-1400",
            "fax_number": "404-755-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 YORK AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102750",
            "telephone_number": "404-752-1400",
            "fax_number": "404-755-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "JESSICA",
        "middle_name": "GRIMES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "3191",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "800 Mount Vernon Hwy NE Ste 130",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GRIMES",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandria Patton
• Anna Patton, CPNP
• Beverly Lanell Patton, APRN, NP CNM
• Emily Elizabeth Patton
• Janet Klebek Patton, PH.D.
• Julia Nancy Patton, PA-A
• Madison Patton, PA-C
• Marcy Lynn Patton, FNP
• Monica E Patton, MD
• Samantha Patton, PHD

• All providers in Atlanta, GA
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.