Individual provider Active NPI

Tamara Alanna Beckett, O.D.

  • Optometrist
  • Warner Robins, GA
National Provider Identifier
1710290754
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002593 Issued in GA
Practice address
216 Corder Rd
Warner Robins, GA 31088-3604
Phone
(478) 923-5872
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002593 GA Primary

Addresses

Primary practice location

216 Corder Rd
Warner Robins, GA 31088-3604

Mailing address

216 Corder Rd
Warner Robins, GA 31088-3604
Phone (478) 923-5872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101026000818 GA Practitioner - Optometry 1254524903 Reassigns benefits to 1 organization
I20170822000547 SC Practitioner - Optometry 1254524903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gayton Health Centre PCGroup PAC ID 9830142710, 13 clinicians

Practice addresses (Care Compare)

216 Corder Rd
Warner Robins, GA 31088-3604
Phone (478) 923-5872

Merit-based Incentive Payment System (MIPS)

Final score
90.09 of 100Reported as group
Quality
90.67
Improvement activities
40
Cost
79.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002593GAMDOptometrist
3365TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
S & H Eye Care, LLC Optometrist CurrentSince Jul 18, 2017 Accepting new patients
Gayton Health Centre, PC Optometrist CurrentSince Jun 1, 2019 Accepting new patients
Gayton Health Centre, PC Past Accepting new patients
Southcoast Medical Group, LLC Past Accepting new patients

Locations

131 Highway 32 Byp
Alma, GA 31510
Phone (912) 632-7623

3303 Glynn Ave
Brunswick, GA 31520
Phone (912) 354-4800

112 Mall Rd
Dublin, GA 31021
Phone (478) 353-8500

117 W Jackson St
Dublin, GA 31021

440 Taylors Mill Rd
Fort Valley, GA 31030
Phone (478) 825-8223

856 1st St
Macon, GA 31201
Phone (478) 741-1740

312 Redfern Vlg
#2522
St Simons Island, GA 31522

312 Redfern Vlg
St Simons Island, GA 31522
Phone (912) 638-8652

700 Maple Dr
Vidalia, GA 30474
Phone (912) 537-1991

100 Spillers Way
Warner Robins, GA 31088

216 Corder Rd
Warner Robins, GA 31088
Phone (912) 923-5872

1055 Silver Bluff Rd
Ste A
Aiken, SC 29803
Phone (803) 642-4339

Interoperability endpoints

  • Direct secure messaging: tbeckett@eyesightassoc.direct.eyemdemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1710290754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CORDER RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883604",
            "telephone_number": "478-923-5872",
            "fax_number": "478-929-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CORDER RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883604",
            "telephone_number": "478-923-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "TAMARA",
        "middle_name": "ALANNA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.