Active NPI
Tammy Alleen Ellis, CCC-A
- Audiologist-Hearing Aid Fitter
- Jasper, AL
National Provider Identifier
1023268356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 0768A
- Practice address
- 3400 Highway 78 E
205 Medical Arts Tower
Jasper, AL 35501-8907 - Phone
- (205) 221-4630
- Fax
- (205) 221-4731
- NPI assigned
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 0768A | AL | Primary |
| Audiologist | 231H00000X | 0768A | AL |
Addresses
Primary practice location
3400 Highway 78 E
205 Medical Arts Tower
Jasper, AL 35501-8907
Mailing address
833 Saint Vincents Dr
Pob#3 Suite 402
Birmingham, AL 35205-1606
Phone (205) 933-9236
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51598737 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 113797 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Hwy 78 E
Suite 205
Jasper, AL 35501-8950
Phone (205) 933-9277
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.23 of 100
- Quality
- 90.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0768A | AL | MD | Audiologist-Hearing Aid Fitter |
Networks
- FL PPO
- MS PPO D-SNP
- MS PPO
- MS PPO C-SNP
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Birmingham, AL
- NPI 1841301082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1023268356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 SAINT VINCENTS DR",
"address_2": "POB#3 SUITE 402",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051606",
"telephone_number": "205-933-9236",
"fax_number": "205-933-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 HIGHWAY 78 E",
"address_2": "205 MEDICAL ARTS TOWER",
"city": "JASPER",
"state": "AL",
"postal_code": "355018907",
"telephone_number": "205-221-4630",
"fax_number": "205-221-4731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "TAMMY",
"middle_name": "ALLEEN",
"name_prefix": "Mrs.",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AL",
"license": "0768A",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "0768A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "51598737",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113797",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.