DR. KELLIE STEWART (O.D.) – Optometrist, NPI 1972896967

DR. KELLIE STEWART (O.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 002616 (GA). The NPI Number for DR. KELLIE STEWART (O.D.) is 1972896967

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLIE STEWART (O.D.)
NPI
1972896967
Phone
(770) 859-0444
Address
2778 COBB PKWY SE
Enumeration Date
24 May 2011
Last Update Date
24 May 2011

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7708341008
Graduation Year
2009 (17 years ago)
PAC ID
8921246158
Group Practice PAC ID
4880962091
Professional Enrollment ID
I20130530000288
Address ID
GA301174414CA158XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

959 OPTOMETRY in GA

Provider Addresses for DR. KELLIE STEWART (O.D.)

  • 2778 COBB PKWY SE

    ATLANTA, GA 303398123

    Phone: (770) 859-0444

    Fax: (770) 859-0346

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $508.

Total Amount is formed as General ($508) + Research ($0) + Ownership ($0) = $508.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: CooperVision Inc. ($196).

Total Amount

$508

General + Research + Ownership

Payments

9

Total payment records

General Amount

$508

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2013-05-30

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
I20130530000288IOptometryGATBD

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 system1111$0
View full utilization report →

Insurance plans in this area (ZIP 30339)

Loading plans...

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: 4880962091View full group profile
NameSpecialtyState
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P T O M E T R YAL
O P T O M E T R YGA
O P T O M E T R YPA
O P H T H A L M O L O G YGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows DR. KELLIE STEWART (O.D.) across health systems?
The NPI 1972896967 uniquely identifies DR. KELLIE STEWART (O.D.) in U.S. healthcare data.
Does the public listing show DR. KELLIE STEWART (O.D.) as active?
DR. KELLIE STEWART (O.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. KELLIE STEWART (O.D.) provide?
DR. KELLIE STEWART (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KELLIE STEWART (O.D.)?
The directory associates DR. KELLIE STEWART (O.D.) with Atlanta, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

3645 HABERSHAM RD. SUITE 109
NPI: 1306849732
Peachtree Dunwoody Road, Atlanta, Georgia, 30328, United States
NPI: 1982601209

Jack Daubert, M.D., P.A.

Ophthalmology Physician
11530 SW Village Pkwy #103
NPI: 1083614366
IBEW building, 501, Pulliam Street Southwest, Mechanicsville, Atlanta, Georgia, 30312, United States
NPI: 1104819903
3148 KINGS ARMS CT NE
NPI: 1831184035
Southside Medical Center, 1046, Ridge Avenue Southwest, Peoplestown, Atlanta, Fulton County, Georgia, 30315, United States
NPI: 1275528317
4633, Village Drive, Village North, Dunwoody, DeKalb County, Georgia, 30338, United States
NPI: 1902895980
Unitarian Universalist Congregation of Atlanta, 2650, North Druid Hills Road Northeast, Atlanta, DeKalb County, Georgia, 30329, United States
NPI: 1831180066
Atlantic Drive Northwest, Atlantic Station, Atlanta, Georgia, 30363, United States
NPI: 1578541835