NICHOLAS CORNEILLIE OD
NPI 1568196194
Optometrist in Hiram, GA
About Nicholas Corneillie Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS CORNEILLIE OD (NPI 1568196194) is an individual optometrist in Hiram, Georgia, licensed in Georgia (OPT003435) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Nicholas Corneillie 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicholas Corneillie's NPI number?
The NPI number for Nicholas Corneillie is 1568196194. It was assigned to this individual provider in the NPPES registry on July 11, 2022.
Where is Nicholas Corneillie located?
Nicholas Corneillie practices at 4465 Jimmy Lee Smith Pkwy Ste 101A, Hiram, GA 30141. The listed phone number is (678) 932-5779.
What is Nicholas Corneillie's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Nicholas Corneillie enrolled in Medicare?
Yes. Nicholas Corneillie 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 Nicholas Corneillie accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Nicholas Corneillie 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 Nicholas Corneillie was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nicholas Corneillie, OD · NPI 1568196194
Optometrist provider in Hiram, Georgia. Individual provider, active in the CMS NPPES registry since July 11, 2022.
## Identity
- **NPI:** 1568196194 (Entity type: Individual)
- **Enumerated:** July 11, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT003435 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4465 JIMMY LEE SMITH PKWY STE 101A, Hiram, GA 30141-2723
- **Phone:** (678) 932-5779
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1568196194) · Data from the CMS NPPES public registry.