Kelly Herron, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NA Issued in GA

Practice address

7405 Shallowford Rd
Chattanooga, TN 37421-2661

Phone

(423) 855-8522

NPI assigned

Jul 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dennis C Matzkin MD PCGroup PAC ID 8527360817, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

92.6

Promoting interoperability

93.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Dennis C Matzkin MD PC

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1063825479
  Medicare reassignment Care Compare group NPD
• Eye on Peachtree Inc.

  • Clinic/Center
  • Atlanta, GA
  • NPI 1598928913
  NPD (past)
• Southeast Eye Surgery Center, PC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1629120928
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1710473780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 FULTON ST APT 432",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374026933",
            "telephone_number": "860-803-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212661",
            "telephone_number": "423-855-8522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Phoenix Blvd Ste 406",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303495560",
            "country_code": "US",
            "telephone_number": "770-996-6664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Downwood Cir NW Ste 240",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303271618",
            "country_code": "US",
            "telephone_number": "404-355-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5505 Peachtree Dunwoody Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421713",
            "country_code": "US",
            "telephone_number": "404-257-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1544 Piedmont Ave NE Ste 320",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303245018",
            "country_code": "US",
            "telephone_number": "404-888-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRON",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bess Herrin
• Joseph Herrin
• Amanda Herring, DO
• Elizabeth Herring, PT
• Katye Herring, M.D.
• Amanda Althea Hershberger, LMSW
• Gabriella Laura Noelle Hertle
• Jeremy Herum, MS, LAT, ATC, CSCS
• Daniel B Herz, M.D.
• Amy M Hess, MD

• Optometrist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.