DR. ANDREA VANESSA ADEYEMI (OD) – Optometrist, NPI 1811373012

DR. ANDREA VANESSA ADEYEMI (OD) is a healthcare provider. based in Macon, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 10673 (TX). The NPI Number for DR. ANDREA VANESSA ADEYEMI (OD) is 1811373012

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREA VANESSA ADEYEMI (OD)
NPI
1811373012
Phone
(478) 239-1438
Address
PO BOX 28045
Enumeration Date
11 August 2015
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2546943435
Graduation Year
2015 (11 years ago)
PAC ID
6204135551
Group Practice PAC ID
7618172461
Professional Enrollment ID
I20221107001187
Address ID
TX766922052WH1221XBXXX500
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 DR. ANDREA VANESSA ADEYEMI (OD)

  • PO BOX 28045

    MACON, GA 312218045

    Phone: (478) 239-1438

    Type: Mailing

  • 4949 BILL GARDNER PKWY

    LOCUST GROVE, GA 302482910

    Phone: (678) 734-3489

    Fax: (770) 288-3390

    Type: Location

  • 1221 N BRAZOS ST

    WHITNEY, TX 766922052

    Phone: (254) 694-3435

    Type: Location

  • 502 N HEWITT DR

    HEWITT, TX 766433038

    Phone: (254) 666-2292

    Type: Location

  • 5321 COPPER MTN

    WACO, TX 767086901

    Phone: (678) 361-5592

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $179.

Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: RxSight Inc ($158).

Total Amount

$179

General + Research + Ownership

Payments

5

Total payment records

General Amount

$179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

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: 2022-11-07

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
I20221107001187IOptometryTXTBD

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
92014Established patient complete exam of visual system4949$0
92004New patient complete exam of visual system3232$0
92134Imaging of retina1212$0
View full utilization report →

Insurance plans in this area (ZIP 31221)

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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: 7618172461View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

How is DR. ANDREA VANESSA ADEYEMI (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. ANDREA VANESSA ADEYEMI (OD) with NPI 1811373012.
Can I rely on DR. ANDREA VANESSA ADEYEMI (OD) being an active provider?
As of the registry snapshot, DR. ANDREA VANESSA ADEYEMI (OD) is marked active.
What is DR. ANDREA VANESSA ADEYEMI (OD) best known for clinically?
Directory data describes DR. ANDREA VANESSA ADEYEMI (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ANDREA VANESSA ADEYEMI (OD) on a map?
Expect Macon, Georgia as a primary anchor for DR. ANDREA VANESSA ADEYEMI (OD) 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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