Payton Hunter Lack, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD004368 Issued in GA

Practice address

660 Lanier Park Dr Ste E
Gainesville, GA 30501-2075

Phone

(678) 971-4647

NPI assigned

May 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Georgia Audiology and Hearing Aid Center, LLCGroup PAC ID 2062654437, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Georgia Audiology and Hearing Aid Center, LLC

  • Audiologist
  • Suwanee, GA
  • NPI 1063845246
  Medicare reassignment Care Compare group NPD
• North Georgia Audiology and Hearing Aid Center, LLC

  • Audiologist
  • Gainesville, GA
  • NPI 1144774373
  NPD
• North Georgia Audiology and Hearing Aid Center, LLC

  • Audiologist
  • Woodstock, GA
  • NPI 1407267362
  NPD

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1043901390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 JOHNS CREEK PKWY STE B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241218",
            "telephone_number": "770-814-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LANIER PARK DR STE E",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012075",
            "telephone_number": "678-971-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACK",
        "first_name": "PAYTON",
        "middle_name": "HUNTER",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joong Yong Kwon, M.D.
• Mohammad Eshaq Kyhan, MD
• Johanna Kyle, MA, LPC, ATR
• L'Cha Homecare, Inc (Senior Helpers)
• Laboratory Corporation of America Holdings
• Kenedi Alexus Lackey, PT, DPT
• Stephanie Lacy, LCSW & LMFT
• Michelle Marie Ladewig, FNP-C
• David Lafferty, PA
• Heather Tolbert Laflam, CNM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.

Verify at the official NPI Registry.