Nicholas Corneillie, OD
Optometrist · Hiram, GA
Nicholas Corneillie, OD is an optometrist with a practice address in Hiram, Georgia, and NPI 1568196194, issued on Jul 11, 2022. Check the license (Georgia OPT003435, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicholas Corneillie
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License number
- OPT003435 GA
Self-reported in NPPES; status is on the state search - Practice location
- 4465 Jimmy Lee Smith Pkwy Ste 101A, Hiram, GA 30141
- Phone
- (678) 932-5779
- Enumerated
- Jul 11, 2022
- Record last updated
- Jul 11, 2022
- Medicare enrollment
- Enrolled (PECOS I20240122002404); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest optometrist records → All 1,430 in Georgia → Look up another NPI →
Also registered at 4465 Jimmy Lee Smith Pkwy Ste 101A
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Patrick Schrepel, ODOptometrist1437644523
Verify Nicholas Corneillie in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license OPT003435Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Mystic Medical LLCAtlanta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nicholas Corneillie among 1,430 optometrist records in Georgia
Nicholas Corneillie, OD is one of 1,430 optometrist records with a practice address in Georgia. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 89% of them.
- NPI issued2022 · 89% of these records are older, 8% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 58% of these records are
- Graduated2022 · median 2007 among the 830 with a school on file
- Record last updated2022 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 optometrist records list a practice address in Hiram
They are 8 of the 392 NPPES records with a practice address in Hiram, and 1,430 optometrist records in Georgia.
All 1,430 in Georgia → Every provider in Hiram → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Kemily Alexander, O.D.Hiram, GA 301411649213471
- Sylvester Ayewoh, ODHiram, GA 301411508101510
- Kristine Lynn, O.D.Hiram, GA 301411407998388
- Patrick Schrepel, ODHiram, GA 301411437644523
- Laura ShipmanHiram, GA 301411265523823
- Peyton Taylor, ODHiram, GA 301411598589459
- Sherene VazhappillyHiram, GA 301411801479068
- Rose Darby, O.D.Jasper, GA 301431285870865
Common questions
What is Nicholas Corneillie, OD's NPI number?
Nicholas Corneillie, OD's National Provider Identifier (NPI) is 1568196194, issued on Jul 11, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Nicholas Corneillie, OD located?
The NPPES record lists a practice address at 4465 Jimmy Lee Smith Pkwy Ste 101A, Hiram, GA, 30141. Phone: (678) 932-5779. Providers update this record themselves, so call before visiting.
How can I verify Nicholas Corneillie, OD's license?
NPPES lists Georgia license number OPT003435, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.