Active NPI
Amanda Caroline Davis, AU.D.
- Audiologist
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1057A
- Practice address
- 250 Chateau Dr SW Ste 216
Huntsville, AL 35801-3497 - Phone
- (256) 622-5618
- NPI assigned
- Dec 10, 2009
- Last updated
- Aug 29, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1057A | AL | Primary |
Addresses
Primary practice location
250 Chateau Dr SW Ste 216
Huntsville, AL 35801-3497
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 423-8697
Other practice location 1
700 W Forest Ave
Ste. 300
Jackson, TN 38301-3937
Phone (731) 422-0340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1525271 | Medicaid | TN |
Other names 1
- Ms. Amanda Caroline Holley
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
250 Chateau Dr SW
Suite 216
Huntsville, AL 35801-3497
Phone (256) 622-5618
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1057A | AL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apollo Audiology, LLC | Audiologist | Current | Accepting new patients |
| West Tennessee Hearing & Speech Center, Inc | Past | Accepting new patients | |
| Jackson Clinic PA | Past | Accepting new patients |
Locations
250 Chateau Dr SW
Ste 216
Huntsville, AL 35801
Phone (256) 319-1620
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Huntsville, AL
- NPI 1760225189
-
dba Jackson Clinc PA DME
- Durable Medical Equipment & Medical Supplies
- Jackson, TN
- NPI 1689443038
-
- Hearing and Speech Clinic/Center
- Jackson, TN
- NPI 1194904342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1033448642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-423-8697",
"fax_number": "731-422-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CHATEAU DR SW STE 216",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013497",
"telephone_number": "256-622-5618"
}
],
"practiceLocations": [
{
"address_1": "700 W Forest Ave",
"address_2": "Ste. 300",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383013937",
"country_code": "US",
"telephone_number": "731-422-0340",
"fax_number": "731-422-0319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "AMANDA",
"middle_name": "CAROLINE",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "1057A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1525271",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "HOLLEY",
"middle_name": "CAROLINE",
"prefix": "MS.",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.