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DR. ALISA KOURTNEY NICHOLSON OD
NPI 1790186211
Optometrist in Douglasville, GA

Active since September 16, 2014PECOS EnrolledAccepts Medicare Assignment
6700 DOUGLAS BLVD STE 1270, DOUGLASVILLE, GA 30135(770) 942-9827 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2018, Jul 12, 2016 (2 updates tracked since 2016).

About Dr. Alisa Kourtney Nicholson Od NPPES

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

DR. ALISA KOURTNEY NICHOLSON OD (NPI 1790186211) is an individual optometrist in Douglasville, Georgia, licensed in Georgia (OPT002881) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2014).

NPPES Registry Identity

NPI1790186211
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALISA KOURTNEY NICHOLSONCredential: OD
Location Address6700 DOUGLAS BLVD STE 1270Douglasville, GA 30135
Mailing Address6700 Douglas Blvd Ste 1270Douglasville, GA 30135-1590 · (770) 942-9827
Phone(770) 942-9827
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2014
Enumeration DateSeptember 16, 2014
Last NPPES UpdateApril 30, 20202 updates tracked since enumeration
NPPES CertifiedApril 30, 2020
✔ NPI 1790186211 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 · OPT002881
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.
6700 DOUGLAS BLVD STE 1270, Douglasville, GA 30135
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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. Alisa Kourtney Nicholson 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 ID1557671104
PECOS Enrollment IDI20161018001065
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 30135 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 Alisa Nicholson's NPI number?

The NPI number for Alisa Nicholson is 1790186211. It was assigned to this individual provider in the NPPES registry on September 16, 2014.

Where is Alisa Nicholson located?

Alisa Nicholson practices at 6700 Douglas Blvd Ste 1270, Douglasville, GA 30135. The listed phone number is (770) 942-9827.

What is Alisa Nicholson's specialty?

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

Is Alisa Nicholson enrolled in Medicare?

Yes. Alisa Nicholson 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 Alisa Nicholson 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 Alisa Nicholson 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 Alisa Nicholson was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.