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DR. STACI HARWELL TEBBETTS OD
NPI 1417485715
Optometrist in Dawsonville, GA

Active since May 31, 2017PECOS EnrolledAccepts Medicare Assignment
5983 HIGHWAY 53 E STE 250, DAWSONVILLE, GA 30534(706) 216-6595(706) 216-6594 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Jul 3, 2018, Aug 3, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Staci Harwell Tebbetts Od NPPES

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

DR. STACI HARWELL TEBBETTS OD (NPI 1417485715) is an individual optometrist in Dawsonville, Georgia, licensed in Georgia (OPT003012) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2017).

NPPES Registry Identity

NPI1417485715
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. STACI HARWELL TEBBETTSCredential: OD
Location Address5983 HIGHWAY 53 E STE 250Dawsonville, GA 30534-9516
Mailing Address5983 Highway 53 E Ste 250Dawsonville, GA 30534-9516 · (706) 216-6595 · Fax (706) 216-6594
Phone(706) 216-6595
Fax(706) 216-6594
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2017
Enumeration DateMay 31, 2017
Last NPPES UpdateSeptember 27, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
✔ NPI 1417485715 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 · OPT003012
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.
5983 HIGHWAY 53 E STE 250, Dawsonville, GA 30534
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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. Staci Harwell Tebbetts 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 ID4981978368
PECOS Enrollment IDI20170923000321
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 30534 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 Staci Tebbetts's NPI number?

The NPI number for Staci Tebbetts is 1417485715. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Staci Tebbetts located?

Staci Tebbetts practices at 5983 Highway 53 E Ste 250, Dawsonville, GA 30534. The listed phone number is (706) 216-6595.

What is Staci Tebbetts's specialty?

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

Is Staci Tebbetts enrolled in Medicare?

Yes. Staci Tebbetts 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 Staci Tebbetts accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Staci Tebbetts 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 Staci Tebbetts was last updated on September 27, 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.