Johnna Leigh Headley Blackerby, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-C58-TA-896 Issued in AL

Practice address

22767 Highway 25
Columbiana, AL 35051-3529

Phone

(205) 669-4131

NPI assigned

Jun 20, 2011

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 AL

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Columbiana Eye Care Inc

  • Optometrist
  • Columbiana, AL
  • NPI 1023446549
  Medicare reassignment NPD
• Blackerby Eye Care, LLC

  • Optometrist
  • Fairfield, AL
  • NPI 1669711651
  NPD
• Phillip B Tickner OD & Associates LLC

  • Optometrist
  • Leeds, AL
  • NPI 1578890885
  NPD (past)
• Stancil Handley O.D. PC

  • Optometrist
  • Columbiana, AL
  • NPI 1538358056
  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1730475682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 HIGHWAY 46",
            "city": "SHELBY",
            "state": "AL",
            "postal_code": "351435225",
            "telephone_number": "205-337-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22767 HIGHWAY 25",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350513529",
            "telephone_number": "205-669-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADLEY BLACKERBY",
        "first_name": "JOHNNA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C58-TA-896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Ryan Gauldin, DO
• Amanda Elizabeth Gosnell
• Jana Davis Grier, CFNP
• Michelle Renaee Haleck, MS, BSN ,RN
• Gabriella McKay Harmon
• Hometown Chiropractic, LLC
• Chanh Van Huynh, DPT
• Laura Johnson
• Jones Family Services
• John Shannon Jones

• Optometrist in Columbiana, AL
• Providers in Columbiana, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.