1. Home
  2. Directory
  3. Georgia
  4. Braselton
  5. Optometrist
  6. NPI Profile

DR. JENNIFER SONG BADARACCO OD
NPI 1689080996
Optometrist in Braselton, GA

Active since July 08, 2014PECOS Enrolled
5777 OLD WINDER HWY, BRASELTON, GA 30517(770) 965-5101 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jennifer Song Badaracco Od NPPES

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

DR. JENNIFER SONG BADARACCO OD (NPI 1689080996) is an individual optometrist in Braselton, Georgia, licensed in Georgia (OPT002861) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689080996
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JENNIFER SONG BADARACCOCredential: OD
Location Address5777 OLD WINDER HWYBraselton, GA 30517-1603
Mailing Address5777 Old Winder HwyBraselton, GA 30517-1603 · (770) 965-5101
Phone(770) 965-5101
Sole ProprietorNo
Enumeration DateJuly 8, 2014
Last NPPES UpdateApril 17, 2018
✔ NPI 1689080996 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 · OPT002861
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.
5777 OLD WINDER HWY, Braselton, GA 30517
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Jennifer Song Od

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Song Badaracco Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jennifer Badaracco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark Lynn Od & Associates, PC
33 mi
Optometrist
2929 TURNER HILL RD, SP. 2625
Lithonia, GA 30038
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Mark Lynn Od And Associates PC
  • 50 clinicians in this Medicare group
NPI 1417055203 (770) 482-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30517 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

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

CLARKSON OPTOMETRY GEORGIA INC
Optometrist
5777 OLD WINDER HWY
BRASELTON, GA 30517
Jackson County (636) 200-4393

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 Jennifer Badaracco's NPI number?

The NPI number for Jennifer Badaracco is 1689080996. It was assigned to this individual provider in the NPPES registry on July 8, 2014. The provider is also known as Dr. Jennifer Song Od.

Where is Jennifer Badaracco located?

Jennifer Badaracco practices at 5777 Old Winder Hwy, Braselton, GA 30517. The listed phone number is (770) 965-5101.

What is Jennifer Badaracco's specialty?

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

Is Jennifer Badaracco enrolled in Medicare?

Yes. Jennifer Badaracco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Badaracco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Badaracco reassigns Medicare benefits to Mark Lynn Od & Associates, PC (Lithonia, 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 Jennifer Badaracco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Badaracco was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.