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NPI 1578815742
● Active Type 2 · Organization
Kelly H Nilsson, Od, PA
Optometrist · Columbus, GA · NPI 1578815742
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Enumerated 2012 · 13 years on NPI
Kelly H Nilsson, Od, PA is 1 of 2375 optometrist organizations in Georgia.
NPI age
13 years
Enumerated 2012-10-11
Primary specialty
Optometrist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Nilsson
President
Last NPPES update
2021-08-26
Source: monthly bulk 2026-05
How this organization compares
Across 2375 active optometrist providers in Georgia.
NPI age
13 years
↓ 3 yr below median
Practice locations
2
1 secondary on file
NPI lifetime · 2012 → 2026
2012-10 Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
3580 Massee Ln Ste G
Columbus, GA 319092586
📞 7625836110
Mailing address
320 Steele Creek Dr
Midland, GA 318204647
📞 6013471725 fax 7066823931
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1851 Manchester Expy Ste B
Columbus, GA 319046761
📞 7066532020
Authorized official
Kelly Honsinger Nilsson, OD
President
📞 6013471725
Specialties
Optometrist
Primary
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...
FL license #4662 GA license #OPT002997 MS license #842 taxonomy 152W00000X
Identifiers
Type Value Notes
01
A10819
EYEMED
01
A10819
HUMANA VCP
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-site organization.
1 additional practice location on file.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.