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DR. KENYATTA D. BRANTLEY O.D.
NPI 1205907565
Optometrist in Sharpsburg, GA

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
3339 HIGHWAY 34 E, SHARPSBURG, GA 30277(770) 304-2025 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2025, Jul 29, 2024 (2 updates tracked since 2024).

About Dr. Kenyatta D. Brantley O.d. NPPES

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

DR. KENYATTA D. BRANTLEY O.D. (NPI 1205907565) is an individual optometrist in Sharpsburg, Georgia, licensed in Georgia (OPT003563) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Newnan, and is a graduate of University Of Missouri St Louis - School Of Optometry (1996).

NPPES Registry Identity

NPI1205907565
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KENYATTA D. BRANTLEYCredential: O.D.
Location Address3339 HIGHWAY 34 ESharpsburg, GA 30277-3564
Mailing Address15933 Clayton Rd Ste 210Ballwin, MO 63011-2172 · (636) 200-4393
Phone(770) 304-2025
Sole ProprietorYes
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 1996
Enumeration DateNovember 10, 2006
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1205907565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT003563
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OPT003563 (GA)
3339 HIGHWAY 34 E, Sharpsburg, GA 30277
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Secondary Practice Location 1

Location 137 CALUMET PARKWAY BLDG G SUITE 101, ATTENTION: DR. KEN BRANTLEYNEWNAN, GA 30263 · Phone (229) 800-4712

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Dr. Kenyatta D. Brantley O.d. 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 ID9436146883
PECOS Enrollment IDI20240604004127
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30277 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.

Other Providers at the Same Location NPPES 2

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

MATTHEW DAVIS CHIROPRACTIC CENTER INC.
Chiropractor
3339 HIGHWAY 34 E, SUITE C
SHARPSBURG, GA 30277
Coweta County (770) 252-1848
MOBLEY EYE CARE OF SHARPSBURG
Optometrist
3339 HIGHWAY 34 E
SHARPSBURG, GA 30277
Coweta County (770) 304-2025

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 Kenyatta Brantley's NPI number?

The NPI number for Kenyatta Brantley is 1205907565. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Kenyatta Brantley located?

Kenyatta Brantley practices at 3339 Highway 34 E, Sharpsburg, GA 30277. The listed phone number is (770) 304-2025.

What is Kenyatta Brantley's specialty?

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

Is Kenyatta Brantley enrolled in Medicare?

Yes. Kenyatta Brantley 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 Kenyatta Brantley accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Kenyatta Brantley 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 Kenyatta Brantley was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.