Individual provider Active NPI

Colay Anquanette White, O.D.

  • Optometrist
  • Morrow, GA
National Provider Identifier
1861795411
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002600 Issued in GA
Practice address
2402 Southlake Mall
Morrow, GA 30260-2334
Phone
(770) 961-1001
NPI assigned
Dec 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002600 GA Primary

Addresses

Primary practice location

2402 Southlake Mall
Morrow, GA 30260-2334

Mailing address

4002 Noble Creek Dr NW
Atlanta, GA 30327-5127
Phone (404) 704-4232

Other practice location 1

1415 Wooten Lake Rd NW Ste 100
Kennesaw, GA 30144-1342
Phone (770) 573-4345

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
I20110222000272 GA Practitioner - Optometry 5991986101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

1415 Wooten Lake Rd NW
Suite 100
Kennesaw, GA 30144-1342
Phone (770) 424-2020

4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002600GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Jan 3, 2026 Accepting new patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Mar 3, 2025 Accepting new patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Mar 3, 2025 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Jan 3, 2026 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients
Mark Lynn OD & Associates PC Past Accepting new patients
Mark Lynn O.D. & Associates, PC Past Accepting new patients

Locations

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379

1415 Wooten Lake Rd NW
Ste 100
Kennesaw, GA 30144
Phone (770) 424-2020

2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050

179 Handley Rd
Ste C
Tyrone, GA 30290
Phone (770) 486-1020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1861795411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 NOBLE CREEK DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303275127",
            "telephone_number": "404-704-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 SOUTHLAKE MALL",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602334",
            "telephone_number": "770-961-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Wooten Lake Rd NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301441342",
            "country_code": "US",
            "telephone_number": "770-573-4345",
            "fax_number": "770-573-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "COLAY",
        "middle_name": "ANQUANETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

Verify at the official NPI Registry.