JARVIS JOHNSON – Optometrist, NPI 1447627815

JARVIS JOHNSON is a healthcare provider. based in Forsyth, Georgia. specializing in OPTOMETRY. They hold a License No. OPTO002920 (GA). The NPI Number for JARVIS JOHNSON is 1447627815

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JARVIS JOHNSON
NPI
1447627815
Phone
(478) 233-0869
Address
105 CRESCENT DR
Enumeration Date
1 September 2015
Last Update Date
1 May 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
2485282116
Graduation Year
2015 (11 years ago)
PAC ID
6507157831
Group Practice PAC ID
5991145112
Professional Enrollment ID
I20160616002225
Address ID
GA300922987NO40XXXSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for JARVIS JOHNSON

  • 105 CRESCENT DR

    FORSYTH, GA 310295464

    Phone: (478) 233-0869

    Type: Mailing

  • 206 MAPLE DR

    VIDALIA, GA 304748907

    Phone: (912) 537-2020

    Type: Mailing

  • 2032 VETERANS BLVD

    DUBLIN, GA 310213042

    Phone: (478) 272-3445

    Type: Location

  • 2032 Veterans Blvd

    Dublin, GA 310213042

    Phone: (478) 272-3445

    Type: Location

  • 673 W WASHINGTON ST

    MONTICELLO, GA 310641371

    Phone: (706) 468-8598

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-06-11 • Largest payer in this snapshot: CooperVision Inc. ($66).

Total Amount

$90

General + Research + Ownership

Payments

2

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-11

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: 2016-06-16

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
I20160616002225IOptometryGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92004New patient complete exam of visual system2020$0
View full utilization report →

Insurance plans in this area (ZIP 31029)

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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: 5991145112View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YGA
O P T O M E T R YTN
O P T O M E T R YGA
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

Does JARVIS JOHNSON share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JARVIS JOHNSON uses 1447627815.
Does CMS list JARVIS JOHNSON as active?
Yes — JARVIS JOHNSON is active in the NPI listing used on this page.
What is JARVIS JOHNSON's primary classification?
Optometrist is the headline specialty for JARVIS JOHNSON here. Clinical services aligned with this taxonomy classification.
Where should I expect JARVIS JOHNSON on a map?
Expect Forsyth, Georgia as a primary anchor for JARVIS JOHNSON unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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