Active NPI
Colay Anquanette White, O.D.
- Optometrist
- Morrow, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002600 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Ga Doctors of Optometry LLC | Optometrist | Current | Accepting new patients |
| Ga Doctors of Optometry LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | 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.
-
- Optometrist
- Lithonia, GA
- NPI 1174105936
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; 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.