DR. SHANTISE MCCALL STORY (O.D.) – Optometrist, NPI 1083808174
Optometrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
959 OPTOMETRY in GA
Provider Addresses for DR. SHANTISE MCCALL STORY (O.D.)
2400 MT. ZION PARKWAY
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Phone: (205) 781-5995
Type: Location
Piedmont Road Northeast, Buckhead, Atlanta, Georgia, 30305, United States
NINE PIEDMONT CENTER
ATLANTA, GA 30305
Phone: (404) 364-7070
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $708.
Total Amount is formed as General ($708) + Research ($0) + Ownership ($0) = $708.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Glaukos Corporation ($540).
Total Amount
$708
General + Research + Ownership
Payments
15
Total payment records
General Amount
$708
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $540 |
| Bausch & Lomb Americas Inc. | $168 |
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: 2014-08-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120718000630 | I | Optometry | AL | TBD |
| I20140811001237 | I | Optometry | GA | TBD |
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.
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 30236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Family Practice | MN | |
| - | GA | |
| - | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| N E U R O L O G Y | IL |
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