Mary Alise Swantek, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD004198 Issued in GA

Practice address

280 Heritage Walk Ste 300
Woodstock, GA 30188-3838

Phone

(770) 726-8948

NPI assigned

Jul 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1033771571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 HERITAGE WALK STE 300",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883838",
            "telephone_number": "770-726-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HERITAGE WALK STE 300",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883838",
            "telephone_number": "770-726-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANTEK",
        "first_name": "MARY",
        "middle_name": "ALISE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary@ngaudiology.com",
            "affiliation": "N",
            "address_1": "280 Heritage Walk Ste 300",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301883838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Superior Healthcare LLC
• Superior Healthcare of Woodstock LLC
• Darren Michael Surma, D.C.
• Susan R. Rudnicki, PH.D., P.C.
• Alexis Suttles, RBT
• Christine M Sweeny
• Sweet Peach Orthodontics, LLC
• Quinn Swidorski
• Heather Andrea Swihart, CRNA, APRN
• T&T Medical Corp (Thurber Medical)

• Audiologist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.