Individual provider Active NPI

Kira Elise Winston, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1639791502
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003253 Issued in GA
Practice address
4480 Chamblee Dunwoody Rd
Atlanta, GA 30338-6221
Phone
(770) 394-2110
Fax
(404) 256-1981
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003253 GA Primary

Addresses

Primary practice location

4480 Chamblee Dunwoody Rd
Atlanta, GA 30338-6221

Mailing address

4480 Chamblee Dunwoody Rd
Atlanta, GA 30338-6221
Phone (770) 394-2110

Other practice location 1

5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone (678) 892-2020

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
I20200927000041 GA Practitioner - Optometry 0042639965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Eye Group PCGroup PAC ID 2567455868, 51 clinicians

Practice addresses (Care Compare)

4480 A Chamblee Dunwoody Rd
Atlanta, GA 30338-6221
Phone (770) 394-2110

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
OPT003253GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eye Group PC Optometrist Current Accepting new patients
Depoe Eye Center PC Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Thomas Eye Group PC Optometrist CurrentSince Nov 1, 2023 Accepting new patients
Thomas Eye Group PC Optometrist CurrentSince Nov 1, 2023 Accepting new patients
Thomas Eye Group PC Past Accepting new patients
B3 Optical LLC Optometrist PastSince May 1, 2020 Accepting new patients

Locations

546 Lakeland Plz
Cumming, GA 30040
Phone (678) 208-2393

4480 Chamblee Dunwoody Rd
#A
Dunwoody, GA 30338
Phone (770) 392-0154

300 N Main St
Ste 301
Jonesboro, GA 30236
Phone (770) 603-0063

110 Southpoint Blvd
McDonough, GA 30253
Phone (770) 228-2020

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

550 Eagles Landing Pkwy
Ste 208
Stockbridge, GA 30281
Phone (770) 415-8982

Interoperability endpoints

  • Direct secure messaging: kewinston@teg.emadirect.md

Organizations & group practices 6

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": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1639791502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 CHAMBLEE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386221",
            "telephone_number": "770-394-2110",
            "fax_number": "404-256-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 CHAMBLEE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386221",
            "telephone_number": "770-394-2110",
            "fax_number": "404-256-1981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5995 Barfield Rd",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303284411",
            "country_code": "US",
            "telephone_number": "678-892-2020",
            "fax_number": "404-256-1981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "KIRA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.