Kellie Stewart, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002616 Issued in GA

Practice address

2778 Cobb Pkwy SE
Atlanta, GA 30339-8123

Phone

(770) 859-0444

Fax

(770) 859-0346

NPI assigned

May 24, 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 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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Vision InstituteGroup PAC ID 4880962091, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelliestewart@direct.eyecare-partners.com
• Direct secure messaging: kstewart@georgiavision.intellechartdirect.net
• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

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.

• Georgia Vision Institute

  • Ophthalmology Physician
  • Carrollton, GA
  • NPI 1689100109
  Medicare reassignment Care Compare group NPD
• Clarkson Optometry Georgia Inc

  • Optometrist
  • Alpharetta, GA
  • NPI 1184802670
  Medicare reassignment NPD
• Georgia Vision Institute

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, GA
  • NPI 1104849124

  Optometrist

  NPD
• Dr. Bruce E. Reid and Associates, PC

  • Optometrist
  • Kennesaw, GA
  • NPI 1568596500
  NPD (past)
• Mobley Riverdale Eye Clinic Inc

  • Optometrist
  • Fayetteville, GA
  • NPI 1407027683
  NPD (past)
• State of Mississippi - University of Mississippi Medical Center

  • Critical Access Hospital
  • Lexington, MS
  • NPI 1386630705
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1972896967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 COBB PKWY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303398123",
            "telephone_number": "770-859-0444",
            "fax_number": "770-859-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 COBB PKWY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303398123",
            "telephone_number": "770-859-0444",
            "fax_number": "770-859-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KELLIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jejuan Denise Stewart, PA
• John H Stewart IV, MD
• John P Stewart, MD
• Charles Preston Stewart, Jr, M. D.
• Kaitlin Marie Stewart, DPT
• Kelsi B Stewart, PT, DPT
• Kimberly Stewart
• Kristi Baker Stewart, PA
• Kristin Stewart, ACNPC-AG
• Leslie Stewart, RDLD

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.