Individual provider Active NPI

Jocelyn Howard Sysko, AU.D.

  • Audiologist
  • Stockbridge, GA
National Provider Identifier
1013054568
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003753 Issued in GA
Practice address
830 Eagles Landing Pkwy
Ste 102
Stockbridge, GA 30281-7366
Phone
(770) 991-2800
Fax
(770) 991-2801
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003753 GA Primary

Addresses

Primary practice location

830 Eagles Landing Pkwy
Ste 102
Stockbridge, GA 30281-7366

Mailing address

4380 Georgetown SQ
Ste 1002
Atlanta, GA 30338-6254
Phone (770) 220-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD003753GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Past Accepting new patients
ENT of Georgia, LLC PastSince May 31, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1013054568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 GEORGETOWN SQ",
            "address_2": "STE 1002",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386254",
            "telephone_number": "770-220-8400",
            "fax_number": "770-234-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 EAGLES LANDING PKWY",
            "address_2": "STE 102",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817366",
            "telephone_number": "770-991-2800",
            "fax_number": "770-991-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYSKO",
        "first_name": "JOCELYN",
        "middle_name": "HOWARD",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.