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MELONIE CLEMMONS O.D.
NPI 1609099530
Optometrist in Ellijay, GA

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
60 OLD HIGHWAY 5 S, ELLIJAY, GA 30540(706) 276-2000(706) 276-2080 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Melonie Clemmons O.d. NPPES

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

MELONIE CLEMMONS O.D. (NPI 1609099530) is an individual optometrist in Ellijay, Georgia, licensed in Georgia (OPT001550) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Piedmont Mountainside Hospital Inc, and is a graduate of Southern College Of Optometry (1996).

NPPES Registry Identity

NPI1609099530
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMELONIE CLEMMONSCredential: O.D.
Location Address60 OLD HIGHWAY 5 SEllijay, GA 30540-5436
Mailing Address64 Walnut Mountain CtEllijay, GA 30536-2674 · (706) 635-3132
Phone(706) 276-2000
Fax(706) 276-2080
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1996
Enumeration DateApril 10, 2007
Last NPPES UpdateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1609099530 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 · OPT001550
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.
60 OLD HIGHWAY 5 S, Ellijay, GA 30540
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Other Identifiers 1

Medicaid910061011AGA

Accepted Insurance

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

Melonie Clemmons 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 ID2062487663
PECOS Enrollment IDI20040901000098
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 Reassignment

Medicare enrollment records show Melonie Clemmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jumpstart Fitness Inc
Same address
Optometrist
60 OLD HIGHWAY 5 S
Ellijay, GA 30540
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1194948034 (170) 627-6200

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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
255 services161 patients
Evaluation of eye adaptation to light and dark with interpretation and report 92284
This procedure checks how your eyes adjust to different light conditions. In a dimly lit room, your eyes are first exposed to bright light. Then, the lights are turned off to see how quickly your eyes adapt to darkness. This helps identify any potential vision problems.
161 services132 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
131 services98 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
130 services47 patients
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.
130 services130 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
60 services60 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30540 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.

JUMPSTART FITNESS INC
Optometrist
60 OLD HIGHWAY 5 S
ELLIJAY, GA 30540
Gilmer County (170) 627-6200
DR. MARIA JEAN NELSEN O.D.
Optometrist
60 OLD HIGHWAY 5 S
ELLIJAY, GA 30540
Gilmer County (706) 276-2000

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 Melonie Clemmons's NPI number?

The NPI number for Melonie Clemmons is 1609099530. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Melonie Clemmons located?

Melonie Clemmons practices at 60 Old Highway 5 S, Ellijay, GA 30540. The listed phone number is (706) 276-2000.

What is Melonie Clemmons's specialty?

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

Is Melonie Clemmons enrolled in Medicare?

Yes. Melonie Clemmons 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 organization bills Medicare for Melonie Clemmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melonie Clemmons reassigns Medicare benefits to Jumpstart Fitness Inc (Ellijay, GA). The 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 Melonie Clemmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melonie Clemmons accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Melonie Clemmons 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.

Is Melonie Clemmons affiliated with any hospitals?

According to CMS data, Melonie Clemmons is affiliated with Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Melonie Clemmons was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.