JAMIE GALLAGHER (OD) – Optometrist, NPI 1568573079

JAMIE GALLAGHER (OD) is a healthcare provider. based in Suwanee, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT002162 (GA). The NPI Number for JAMIE GALLAGHER (OD) is 1568573079

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE GALLAGHER (OD)
NPI
1568573079
Phone
(770) 614-8577
Address
4320 SUWANEE DAM RD.
Enumeration Date
31 August 2006
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4048759011
Graduation Year
1994 (32 years ago)
PAC ID
5698735439
Group Practice PAC ID
8527009034
Professional Enrollment ID
I20041019000461
Address ID
GA303081137AT739XXNWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for JAMIE GALLAGHER (OD)

  • 4320, Suwanee Dam Road, Village Grove, Suwanee, Gwinnett County, Georgia, 30024, United States

    SUITE 2100

    SUWANEE, GA 30024

    Phone: (770) 614-8577

    Fax: (770) 614-8509

    Type: Location

  • 424 DECATUR ST SE

    ATLANTA, GA 303121848

    Phone: (678) 843-8600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $359.

Total Amount is formed as General ($359) + Research ($0) + Ownership ($0) = $359.

Last reported payment date: 2024-10-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($117).

Total Amount

$359

General + Research + Ownership

Payments

7

Total payment records

General Amount

$359

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-26

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: 2004-10-19

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
I20041019000461IOptometryGATBD

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
99204New patient office or other outpatient visit, 45-59 minutes4848$0
View full utilization report →

Insurance plans in this area (ZIP 30024)

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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: 8527009034View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeAL
Occupational Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
O P T O M E T R YGA
Occupational Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Where can patients find JAMIE GALLAGHER (OD)'s NPI?
You can confirm JAMIE GALLAGHER (OD) with NPI 1568573079; it appears in the national provider directory.
Is JAMIE GALLAGHER (OD)'s NPI currently valid?
The extract we use shows JAMIE GALLAGHER (OD) as active.
What field does JAMIE GALLAGHER (OD) work in?
You can think of JAMIE GALLAGHER (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for JAMIE GALLAGHER (OD)?
The page summarizes Suwanee, Georgia for JAMIE GALLAGHER (OD); expand the address list for detail.
How can I contact JAMIE GALLAGHER (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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