Active NPI
Terese Irene Huber, AU.D.
- Audiologist
- Cumming, GA
National Provider Identifier
1063440360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003591
- Practice address
- 6130 Southard Trce
Cumming, GA 30040-6475 - Phone
- (770) 781-2376
- Fax
- (770) 781-2377
- NPI assigned
- Jun 28, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD003591 | GA | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | AUD003591 | GA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AUD003591 | GA | |
| Assistive Technology Supplier Audiologist | 231HA2500X | AUD003591 | GA |
Addresses
Primary practice location
6130 Southard Trce
Cumming, GA 30040-6475
Mailing address
4036 Grove Hill CT
Norcross, GA 30092-1922
Phone (770) 781-2376
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 614451647A | Medicaid | GA | |
| 614451647B | Medicaid | GA |
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 |
|---|---|---|---|
| Auditory Verbal Center Inc | Past | Accepting new patients | |
| Auditory Verbal Center Inc | Audiologist | Past | Accepting new patients |
| Audigycare, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Macon, GA
- NPI 1962789370
-
- Audiologist-Hearing Aid Fitter
- Vancouver, WA
- NPI 1720364920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1063440360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4036 GROVE HILL CT",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300921922",
"telephone_number": "770-781-2376",
"fax_number": "770-781-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6130 SOUTHARD TRCE",
"city": "CUMMING",
"state": "GA",
"postal_code": "300406475",
"telephone_number": "770-781-2376",
"fax_number": "770-781-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "TERESE",
"middle_name": "IRENE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003591",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "GA",
"license": "AUD003591",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "GA",
"license": "AUD003591",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "GA",
"license": "AUD003591",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "614451647A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "614451647B",
"state": "GA"
}
],
"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 Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.