DR. JASMINE SHALISA DELOACH OD
NPI 1043048572
Optometrist in Columbus, MS

Active since July 25, 2024PECOS EnrolledAccepts Medicare Assignment
1823 5TH ST N, COLUMBUS, MS 39705(662) 328-5225 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jasmine Shalisa Deloach Od NPPES

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

DR. JASMINE SHALISA DELOACH OD (NPI 1043048572) is an individual optometrist in Columbus, Mississippi, licensed in Mississippi (1097) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2024).

NPPES Registry Identity

NPI1043048572
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JASMINE SHALISA DELOACHCredential: OD
Location Address1823 5TH ST NColumbus, MS 39705-2203
Mailing Address9028 Hwy 45 South AlternateCrawford, MS 39743 · (662) 328-5225
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2024
Enumeration DateJuly 25, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1043048572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MS · 1097
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.
1823 5TH ST N, Columbus, MS 39705

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jasmine Shalisa Deloach Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567900079
PECOS Enrollment IDI20240815001190
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 Reassignments

2

Medicare enrollment records show Jasmine Deloach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1823 5TH ST N
Columbus, MS 39705
  • Reassigned Medicare billing, Mississippi enrollment
  • 7 clinicians in this Medicare group
Optometrist
110A ALABAMA ST
Columbus, MS 39702
  • Reassigned Medicare billing, Mississippi enrollment
  • 7 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39705 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 7

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

Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705

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 Jasmine Deloach's NPI number?

The NPI number for Jasmine Deloach is 1043048572. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Jasmine Deloach located?

Jasmine Deloach practices at 1823 5th St N, Columbus, MS 39705. The listed phone number is (662) 328-5225.

What is Jasmine Deloach's specialty?

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

Is Jasmine Deloach enrolled in Medicare?

Yes. Jasmine Deloach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jasmine Deloach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasmine Deloach reassigns Medicare benefits to 2 organizations: Curtis Optometry Group PLLC (Columbus, MS) and Columbus Vision Group, PLLC (Columbus, MS). Each 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 Jasmine Deloach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jasmine Deloach accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 14 other insurers list Jasmine Deloach 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 Jasmine Deloach was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.