DR. NICOLE L BEATY (OD) – Optometrist, NPI 1124640412

DR. NICOLE L BEATY (OD) is a healthcare provider. based in Mc donald, Tennessee. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3830 (TN). The NPI Number for DR. NICOLE L BEATY (OD) is 1124640412

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE L BEATY (OD)
NPI
1124640412
Phone
(423) 716-4831
Address
285 BEAN RD
Enumeration Date
11 May 2020
Last Update Date
7 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4238945300
Graduation Year
2021 (5 years ago)
PAC ID
3274942727
Group Practice PAC ID
8426046665
Professional Enrollment ID
I20231011003340
Address ID
TN374214941CH7320XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for DR. NICOLE L BEATY (OD)

  • 285 BEAN RD

    MC DONALD, TN 373535106

    Phone: (423) 716-4831

    Type: Mailing

  • 7320 SHALLOWFORD RD # RC

    CHATTANOOGA, TN 374214941

    Phone: (423) 894-5300

    Type: Location

  • 5591 Highway 153 Ste 136

    Hixson, TN 373436718

    Phone: (423) 680-5965

    Type: Location

  • 1515 HUNT RD SE

    CLEVELAND, TN 373238611

    Phone: (423) 716-4831

    Type: Mailing

  • 76 MOUSE CREEK RD NW

    CLEVELAND, TN 373124875

    Phone: (423) 472-5085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Glaukos Corporation ($76).

Total Amount

$90

General + Research + Ownership

Payments

3

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2023-10-11

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
I20231011003340IOptometryTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37353)

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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: 8426046665View full group profile
NameSpecialtyState
-GA
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 YNY
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 YFL
O P H T H A L M O L O G YNC
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 YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

What is DR. NICOLE L BEATY (OD)'s NPI number?
DR. NICOLE L BEATY (OD)'s NPI is 1124640412 — the number used across U.S. healthcare to identify this provider.
Is DR. NICOLE L BEATY (OD) shown as active in public data?
Registry records indicate DR. NICOLE L BEATY (OD) maintains an active NPI.
What area of care is associated with DR. NICOLE L BEATY (OD)?
DR. NICOLE L BEATY (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. NICOLE L BEATY (OD) located near Mc Donald?
DR. NICOLE L BEATY (OD) currently maps to Mc Donald, Tennessee in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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