MADISON THURMOND (OD) – Optometrist, NPI 1023805637

MADISON THURMOND (OD) is a healthcare provider. based in Atlanta, Georgia. specializing in OPHTHALMOLOGY. They hold the professional credentials OD. They hold a License No. OPT003671 (GA). The NPI Number for MADISON THURMOND (OD) is 1023805637

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
MADISON THURMOND (OD)
NPI
1023805637
Phone
Not provided
Address
1365 CLIFTON RD NE BLDG B
Enumeration Date
24 April 2025
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
4047787525
Graduation Year
2025 (1 year ago)
PAC ID
2567963382
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20250902002683
Address ID
GA303221013AT1365XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

570 OPHTHALMOLOGY in GA

Provider Addresses for MADISON THURMOND (OD)

  • 1365 CLIFTON RD NE BLDG B

    ATLANTA, GA 303221013

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250902002683IOphthalmologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30322)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

What is the registry number for MADISON THURMOND (OD)?
The registry entry for MADISON THURMOND (OD) shows NPI 1023805637.
Should I treat MADISON THURMOND (OD) as an active provider?
Patients and plans typically see MADISON THURMOND (OD) as active in the national extract.
How should patients interpret MADISON THURMOND (OD)'s specialty?
The extract shows Optometrist for MADISON THURMOND (OD). Clinical services aligned with this taxonomy classification.
Can patients visit MADISON THURMOND (OD) in Atlanta, Georgia?
For routing, start with Atlanta, Georgia for MADISON THURMOND (OD), then verify phone and hours locally.
Who maintains MADISON THURMOND (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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