Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Staci Harwell Tebbetts, OD

Individual provider Optometrist · NPI 1417485715

Dr. Staci Harwell Tebbetts, OD is an Optometry in Dawsonville, Georgia. Graduated from Southern College of Optometry in 2017, 9 years ago. Practices with North Georgia Family Eye Care, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Trained at
Southern College of Optometry
Licensed in
GA
In the registry since
2017
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5983 Highway 53 E Ste 250
Dawsonville, GA 30534-9516
Phone: (706) 216-6595
Fax: (706) 216-6594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT003012 (GA)

Record details

NPI number1417485715
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 31, 2017
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2017 (9 years in practice)
Group practice North Georgia Family Eye Care, Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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