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DANNY J GARCIA
NPI 1184116667
Optometrist in Cartersville, GA

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
123 W MAIN ST STE A, CARTERSVILLE, GA 30120(470) 888-2044(470) 888-2039 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 1, 2023, Nov 10, 2021, Jun 3, 2019 (3 updates tracked since 2019).

About Danny J Garcia NPPES

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

DANNY J GARCIA (NPI 1184116667) is an individual optometrist in Cartersville, Georgia, licensed in Georgia (OPT003080) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kennesaw, and is a graduate of Southern College Of Optometry (2018).

NPPES Registry Identity

NPI1184116667
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDANNY J GARCIA
Location Address123 W MAIN ST STE ACartersville, GA 30120-3507
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899
Phone(470) 888-2044
Fax(470) 888-2039
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2018
Enumeration DateMay 31, 2018
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1184116667 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 GA · OPT003080
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.
123 W MAIN ST STE A, Cartersville, GA 30120
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Secondary Practice Location 1

Location 11415 Wooten Lake Rd NW Ste 100Kennesaw, GA 30144-1342 · Phone (770) 424-2020 · Fax (770) 573-4352

Other Identifiers 1

Medicaid901585879BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Danny J Garcia 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 ID1254666829
PECOS Enrollment IDI20190718002426
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.

Areas of Expertise CMS Part B claims 2

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30120 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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 Danny Garcia's NPI number?

The NPI number for Danny Garcia is 1184116667. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Danny Garcia located?

Danny Garcia practices at 123 W Main St Ste A, Cartersville, GA 30120. The listed phone number is (470) 888-2044.

What is Danny Garcia's specialty?

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

Is Danny Garcia enrolled in Medicare?

Yes. Danny Garcia 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.

What insurance does Danny Garcia accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 7 other insurers list Danny Garcia 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 Danny Garcia was last updated on November 1, 2023. 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.