DR. MARCY MARIE MCKIBBIN (O.D.) – Optometrist, NPI 1437439072

DR. MARCY MARIE MCKIBBIN (O.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT002665 (GA). The NPI Number for DR. MARCY MARIE MCKIBBIN (O.D.) is 1437439072

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARCY MARIE MCKIBBIN (O.D.)
NPI
1437439072
Phone
(901) 351-7899
Address
2420 ECHO DR NE
Enumeration Date
26 August 2011
Last Update Date
26 August 2011

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7067694404
Graduation Year
2011 (15 years ago)
PAC ID
3173059904
Group Practice PAC ID
3678876158
Professional Enrollment ID
I20241204000522
Address ID
GA306774846WA2281XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

959 OPTOMETRY in GA

Provider Addresses for DR. MARCY MARIE MCKIBBIN (O.D.)

  • 2420 ECHO DR NE

    ATLANTA, GA 303453527

    Phone: (901) 351-7899

    Type: Mailing

  • 3200 COBB GALLERIA PKWY STE 105

    ATLANTA, GA 303395919

    Phone: (901) 351-7899

    Type: Location

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: 2024-12-04

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
I20241204000522IOptometryGATBD

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 30345)

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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: 3678876158View full group profile
NameSpecialtyState
-GA
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MARCY MARIE MCKIBBIN (O.D.)'s NPI?
Yes. DR. MARCY MARIE MCKIBBIN (O.D.) is listed with NPI 1437439072 in the public NPI dataset.
Does CMS list DR. MARCY MARIE MCKIBBIN (O.D.) as active?
Yes — DR. MARCY MARIE MCKIBBIN (O.D.) is active in the NPI listing used on this page.
What is DR. MARCY MARIE MCKIBBIN (O.D.) best known for clinically?
Directory data describes DR. MARCY MARIE MCKIBBIN (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. MARCY MARIE MCKIBBIN (O.D.) list a practice location?
Patients near Atlanta, Georgia may find DR. MARCY MARIE MCKIBBIN (O.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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