NICHOLAS J DAVIS (O.D.) – Optometrist, NPI 1508898412

NICHOLAS J DAVIS (O.D.) is a healthcare provider. based in Dalton, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT002251 (GA). The NPI Number for NICHOLAS J DAVIS (O.D.) is 1508898412

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS J DAVIS (O.D.)
NPI
1508898412
Phone
(706) 278-0518
Address
1008 RIVERBURCH PKWY
Enumeration Date
7 July 2006
Last Update Date
29 March 2011

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7062780518
Graduation Year
2005 (21 years ago)
PAC ID
8527086990
Group Practice PAC ID
1850318270
Professional Enrollment ID
I20051103000808
Address ID
GA307218630DA1008XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for NICHOLAS J DAVIS (O.D.)

  • 1008 RIVERBURCH PKWY

    DALTON, GA 307218630

    Phone: (706) 278-0518

    Fax: (706) 275-9715

    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)

CMS reports 11 Open Payments records for all available years, with a total value of $230.

Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alcon Vision LLC ($144).

Total Amount

$230

General + Research + Ownership

Payments

11

Total payment records

General Amount

$230

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2005-11-03

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
I20051103000808IOptometryGATBD

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
66984Removal of cataract with insertion of prosthetic lens2,25014$0
99214Established patient office or other outpatient visit, 30-39 minutes275150$0
92014Established patient complete exam of visual system226224$0
68761Closure of tear duct opening using plug21766$0
92250Photography of the retina124123$0
View full utilization report →

Insurance plans in this area (ZIP 30721)

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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: 1850318270View full group profile
NameSpecialtyState
O P T O M E T R YGA

Reviews

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Frequently asked questions

Can I cross-check NICHOLAS J DAVIS (O.D.) using NPI 1508898412?
NPI 1508898412 belongs to NICHOLAS J DAVIS (O.D.); compare other details if you need extra assurance.
Would NICHOLAS J DAVIS (O.D.) appear as active to a payer?
You can treat NICHOLAS J DAVIS (O.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for NICHOLAS J DAVIS (O.D.)?
At a glance, NICHOLAS J DAVIS (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Georgia is NICHOLAS J DAVIS (O.D.) registered?
Use Dalton, Georgia as the headline location for NICHOLAS J DAVIS (O.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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