Individual provider Active NPI

Kelly King Cleary, OD

  • Optometrist
  • Covington, GA
National Provider Identifier
1740713569
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003007 Issued in GA
Practice address
4159 Mill St NE
Covington, GA 30014-2546
Phone
(770) 786-1234
Fax
(770) 385-0813
NPI assigned
Apr 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003007 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4159 Mill St NE
Covington, GA 30014-2546

Mailing address

4159 Mill St NE
Covington, GA 30014-2546
Phone (770) 786-1234

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
I20170724000928 GA Practitioner - Optometry 4880964998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Ophthalmologists LLCGroup PAC ID 6406026186, 4 clinicians

Practice addresses (Care Compare)

4159 Mill St NE
Covington, GA 30014-2546
Phone (770) 786-1234

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
91.06
Improvement activities
40
Cost
50.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Ophthalmologists LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

4159 Mill St NE
Covington, GA 30014
Phone (770) 786-1234

860 W 3rd St
Jackson, GA 30233
Phone (770) 775-1234

Interoperability endpoints

  • Direct secure messaging: kcleary@geo.intellechartdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1740713569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 MILL ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142546",
            "telephone_number": "770-786-1234",
            "fax_number": "770-385-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4159 MILL ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142546",
            "telephone_number": "770-786-1234",
            "fax_number": "770-385-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "KELLY",
        "middle_name": "KING",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-08",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003007",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.