DR. ALISA JOYCE BURNETT (O.D.) – Optometrist, NPI 1831136928

DR. ALISA JOYCE BURNETT (O.D.) is a healthcare provider. based in Stone mountain, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1673 (GA). The NPI Number for DR. ALISA JOYCE BURNETT (O.D.) is 1831136928

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALISA JOYCE BURNETT (O.D.)
NPI
1831136928
Phone
(404) 918-1915
Address
6945 DEER CREEK TRCE
Enumeration Date
31 May 2006
Last Update Date
24 May 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
4783685385
Graduation Year
1988 (38 years ago)
PAC ID
4587667662
Group Practice PAC ID
8527431733
Professional Enrollment ID
I20060809000485
Address ID
GA300527316LO4221XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for DR. ALISA JOYCE BURNETT (O.D.)

  • 6945 DEER CREEK TRCE

    STONE MOUNTAIN, GA 300875477

    Phone: (404) 918-1915

    Fax: (678) 267-2865

    Type: Location

  • 4221 ATLANTA HWY

    LOGANVILLE, GA 300527316

    Phone: (478) 368-5385

    Fax: (478) 910-1030

    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: 2006-08-09

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
I20060809000485IOptometryGATBD

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 system4242$0
View full utilization report →

Insurance plans in this area (ZIP 30087)

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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: 8527431733View full group profile
NameSpecialtyState
O P T O M E T R YGA

Reviews

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Frequently asked questions

What number should I use to identify DR. ALISA JOYCE BURNETT (O.D.) for billing?
Administrative and clinical systems typically use NPI 1831136928 for DR. ALISA JOYCE BURNETT (O.D.).
Is DR. ALISA JOYCE BURNETT (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ALISA JOYCE BURNETT (O.D.) as active.
How should patients interpret DR. ALISA JOYCE BURNETT (O.D.)'s specialty?
The extract shows Optometrist for DR. ALISA JOYCE BURNETT (O.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ALISA JOYCE BURNETT (O.D.)?
DR. ALISA JOYCE BURNETT (O.D.) shows a connection to Stone Mountain, Georgia in registry-derived data.
Why is information missing for DR. ALISA JOYCE BURNETT (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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