DR. JANELLE LYNETTE DAVISON (O.D.) – Optometrist, NPI 1053475855

DR. JANELLE LYNETTE DAVISON (O.D.) is a healthcare provider. based in Marietta, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT002350 (GA). The NPI Number for DR. JANELLE LYNETTE DAVISON (O.D.) is 1053475855

Main info

Female
20 Years Of Experience
Name
DR. JANELLE LYNETTE DAVISON (O.D.)
NPI
1053475855
Phone
(770) 428-0414
Address
1690 POWDER SPRINGS RD SW
Enumeration Date
19 December 2006
Last Update Date
28 April 2024

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7704280414
Graduation Year
2006 (20 years ago)
PAC ID
1153492616
Professional Enrollment ID
I20080611000677
Address ID
GA300678655MA2550XSEXX509

Contacts

Secure Messaging
drjanelle@direct.revolutionehr.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

958 OPTOMETRY in GA

Provider Addresses for DR. JANELLE LYNETTE DAVISON (O.D.)

  • Powder Springs Road, Marietta, Cobb, Georgia, 30008, United States

    101

    MARIETTA, GA 300644844

    Phone: (770) 428-0414

    Fax: (770) 428-0414

    Type: Mailing

  • 2550 Windy Hill Rd SE Ste 320

    Marietta, GA 300678655

    Phone: (770) 428-0414

    Fax: (770) 428-0415

    Type: Location

  • 2450 ATLANTA RD SE STE 200

    SMYRNA, GA 300802073

    Phone: (770) 428-0414

    Fax: (770) 428-0415

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 207 Open Payments records for all available years, with a total value of $96,566.

Total Amount is formed as General ($96,566) + Research ($0) + Ownership ($0) = $96,566.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Alcon Vision LLC ($41,452).

Total Amount

$96,566

General + Research + Ownership

Payments

207

Total payment records

General Amount

$96,566

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-06-11

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
I20080611000677IOptometryGATBD

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 30064)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DR. JANELLE LYNETTE DAVISON (O.D.) using NPI 1053475855?
NPI 1053475855 belongs to DR. JANELLE LYNETTE DAVISON (O.D.); compare other details if you need extra assurance.
Is DR. JANELLE LYNETTE DAVISON (O.D.) still an active registrant?
DR. JANELLE LYNETTE DAVISON (O.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. JANELLE LYNETTE DAVISON (O.D.)?
At a glance, DR. JANELLE LYNETTE DAVISON (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. JANELLE LYNETTE DAVISON (O.D.) located near Marietta?
DR. JANELLE LYNETTE DAVISON (O.D.) currently maps to Marietta, Georgia in this extract.
Does DR. JANELLE LYNETTE DAVISON (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

3405, Dallas Highway, Marietta, Cobb, Georgia, 30064, United States
NPI: 1669470480
895, Canton Road Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1588665699
1230 JOHNSON FERRY PL
NPI: 1881696763

MARIETTA EYE CLINIC, PA

Ophthalmology Physician
895, Canton Road Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1255333175
895, Canton Road Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1487656237
Marietta Post Office, Front Street, Marietta Historic District, Harmar, Marietta, Washington County, Ohio, 45750, United States
NPI: 1932197712
Sam's Club, 10600, Davis Drive, Alpharetta, Fulton County, Georgia, 30009, United States
NPI: 1477541126
800 BRACKETT RD
NPI: 1831162106
4690 JEFFERSON TOWNSHIP LANE
NPI: 1912974700