Individual provider Active NPI

Mia Alana Malkin, AUD

  • Audiologist
  • Suwanee, GA
National Provider Identifier
1093571374
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004464 Issued in GA
Practice address
4045 Johns Creek Pkwy Ste B
Suwanee, GA 30024-1218
Phone
(770) 814-1260
NPI assigned
Feb 26, 2024
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81587 TX
Audiologist 231H00000X AUD004464 GA Primary

Addresses

Primary practice location

4045 Johns Creek Pkwy Ste B
Suwanee, GA 30024-1218

Mailing address

910 Deerfield Crossing Dr Apt 11301
Alpharetta, GA 30004-1841
Phone (327) 713-6404

Other practice location 1

660 Lanier Park Dr Ste E
Gainesville, GA 30501-2075
Phone (678) 971-4647

Other practice location 2

280 Heritage Walk Ste 300
Woodstock, GA 30188-3838
Phone (770) 726-8948

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625003713 GA Practitioner - Qualified Audiologist 2668984477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4045 Johns Creek Pkwy
Suite B
Suwanee, GA 30024-1218
Phone (770) 814-1260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81587TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Ear Nose & Throat PC CurrentSince Jun 23, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1093571374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 DEERFIELD CROSSING DR APT 11301",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041841",
            "telephone_number": "327-713-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 JOHNS CREEK PKWY STE B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241218",
            "telephone_number": "770-814-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Lanier Park Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012075",
            "country_code": "US",
            "telephone_number": "678-971-4647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Heritage Walk Ste 300",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301883838",
            "country_code": "US",
            "telephone_number": "770-726-8948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALKIN",
        "first_name": "MIA",
        "middle_name": "ALANA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81587",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.