Active NPI
Alyssa Jordan Fischer, AUD
- Audiologist
- Cumming, GA
National Provider Identifier
1053042911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 004325
- Practice address
- 4150 Deputy Bill Cantrell Memorial Road
Unit 260
Cumming, GA 30040 - Phone
- (770) 292-3045
- NPI assigned
- Jun 22, 2022
- 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 | 004325 | GA | Primary |
Addresses
Primary practice location
4150 Deputy Bill Cantrell Memorial Road
Unit 260
Cumming, GA 30040
Mailing address
4150 Deputy Bill Cantrell Memorial Road
Suite 260
Cumming, GA 30040
Phone (678) 679-5070
Other practice location 1
3180 N Point Pkwy Unit 512
Alpharetta, GA 30005-4248
Phone (678) 679-5070
Other practice location 2
73 Prestige Ln Ste 202
Dawsonville, GA 30534-6371
Phone (770) 292-3045
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Surgical Professional Services LLC | Past | Accepting new patients |
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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1053042911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL ROAD",
"address_2": "SUITE 260",
"city": "CUMMING",
"state": "GA",
"postal_code": "30040",
"telephone_number": "678-679-5070",
"fax_number": "770-292-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL ROAD",
"address_2": "UNIT 260",
"city": "CUMMING",
"state": "GA",
"postal_code": "30040",
"telephone_number": "770-292-3045"
}
],
"practiceLocations": [
{
"address_1": "3180 N Point Pkwy Unit 512",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300054248",
"country_code": "US",
"telephone_number": "678-679-5070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "73 Prestige Ln Ste 202",
"address_purpose": "LOCATION",
"city": "Dawsonville",
"state": "GA",
"postal_code": "305346371",
"country_code": "US",
"telephone_number": "770-292-3045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISCHER",
"first_name": "ALYSSA",
"middle_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "004325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.