Individual provider Active NPI

Chelsea Kilgore, AUD

  • Audiologist
  • Decatur, GA
National Provider Identifier
1083028294
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003972 Issued in GA
Practice address
1991 N Williamsburg Dr Ste a
Decatur, GA 30033-3500
Phone
(404) 500-1026
Fax
(404) 478-6476
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003972 GA Primary

Addresses

Primary practice location

1991 N Williamsburg Dr Ste a
Decatur, GA 30033-3500

Mailing address

1991 N Williamsburg Dr Ste a
Decatur, GA 30033-3500
Phone (404) 500-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140924001298 GA Practitioner - Qualified Audiologist 8426277484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stinson Mobile Aud Ga LLCGroup PAC ID 6608110390, 8 clinicians

Practice addresses (Care Compare)

40 Technology Pkwy S
Suite 300
Norcross, GA 30092-2924
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Oct 15, 2024 Accepting new patients
Auditory Verbal Center Inc CurrentSince May 1, 2022 Accepting new patients
Atlanta Hearing Associates of Toco Hills, LLC Audiologist PastSince Jan 26, 2022 Accepting new patients

Locations

11400 N Jog Rd
Palm Beach Gardens, FL 33418
Phone 5614788770 ext. 181

1502 W 3rd Ave
Albany, GA 31707
Phone (229) 434-0003

4190 Old Milton Pkwy
Ste 2E
Alpharetta, GA 30005
Phone (770) 462-2000

2140 Peachtree Rd NW
Ste 350
Atlanta, GA 30309
Phone (404) 351-4114

1901 Century Blvd NE
Ste 20
Atlanta, GA 30345
Phone (404) 633-8911

1875 Century Blvd NE
Ste 200
Atlanta, GA 30345
Phone (404) 633-8911

2816 Washington Rd
Ste 106
Augusta, GA 30909
Phone (706) 412-5373

1437 Riverstone Pkwy
Ste 105
Canton, GA 30114
Phone (404) 400-5970

6600 Sugarloaf Pkwy
Ste 800
Duluth, GA 30097
Phone (770) 476-3005

606 S 8th St
Griffin, GA 30224
Phone (770) 229-6666

1200 Ernest W Barrett Pkwy NW
Ste 124
Kennesaw, GA 30144
Phone (404) 620-4151

2424 Roswell Rd
Ste 140
Marietta, GA 30062
Phone (678) 560-0011

875 Mansell Rd
Ste B2
Roswell, GA 30076
Phone (678) 461-6366

6018 Sandy Springs Cir
Sandy Springs, GA 30328
Phone (404) 256-5149

2430 Atlanta Rd SE
Ste 100
Smyrna, GA 30080
Phone (770) 425-1095

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1083028294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 N WILLIAMSBURG DR STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333500",
            "telephone_number": "404-500-1026",
            "fax_number": "404-478-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 N WILLIAMSBURG DR STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333500",
            "telephone_number": "404-500-1026",
            "fax_number": "404-478-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "CHELSEA",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.