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MARC SACHA HELMY O.D.
NPI 1013172238
Optometrist in Canton, GA

Active since July 28, 2008PECOS Enrolled
1455 RIVERSTONE PKWY, CANTON, GA 30114(770) 479-0123(770) 720-0104 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marc Sacha Helmy O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC SACHA HELMY O.D. (NPI 1013172238) is an individual optometrist in Canton, Georgia, licensed in Georgia (OPT002479) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013172238
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARC SACHA HELMYCredential: O.D.
Location Address1455 RIVERSTONE PKWYCanton, GA 30114-5627
Mailing Address3999 Austell RdAustell, GA 30106-1100 · (770) 941-2323
Phone(770) 479-0123
Fax(770) 720-0104
Sole ProprietorYes
Enumeration DateJuly 28, 2008
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1013172238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in GA · OPT002479✔ Licensed in TN · 2829
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1455 RIVERSTONE PKWY, Canton, GA 30114
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Other Identifiers 3

Medicaid788583561AGA
Medicaid788583561BGA
Medicaid788583561CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc Sacha Helmy O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marc Helmy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family First Vision Care Georgia
16 mi
Optometrist
10775 ALPHARETTA HWY
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 40 clinicians in this Medicare group
NPI 1649881236 (770) 998-9656

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH OPTICAL
Technician/Technologist (Optician)
1455 RIVERSTONE PKWY, SUITE 110
CANTON, GA 30114
Cherokee County (770) 479-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Helmy's NPI number?

The NPI number for Marc Helmy is 1013172238. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Marc Helmy located?

Marc Helmy practices at 1455 Riverstone Pkwy, Canton, GA 30114. The listed phone number is (770) 479-0123.

What is Marc Helmy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Marc Helmy enrolled in Medicare?

Yes. Marc Helmy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marc Helmy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Helmy reassigns Medicare benefits to Family First Vision Care Georgia (Roswell, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Helmy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Helmy accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Marc Helmy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marc Helmy was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.