Active NPI
Annette Rhoda Peppard, AU. D.
- Audiologist
- Warner Robins, GA
National Provider Identifier
1093710196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD001218
- Practice address
- 302 Margie Dr
Warner Robins, GA 31088-7817 - Phone
- (478) 953-2705
- Fax
- (478) 953-2857
- NPI assigned
- Jun 15, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD001218 | GA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | AUD001218 | GA |
Addresses
Primary practice location
302 Margie Dr
Warner Robins, GA 31088-7817
Mailing address
302 Margie Dr
Warner Robins, GA 31088-7817
Phone (478) 953-2705
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000799906B | Medicaid | GA | |
| 000799906H | Medicaid | GA | |
| 000799906G | Medicaid | GA | |
| 000799906E | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1218 | GA | MD | Optometrist |
| 001218 | GA | MD | Pulmonary Disease Physician |
| AUD001218 | GA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpaca Audiology, LLC | Audiologist | Past | Accepting new patients |
| Hearing Aid Associates LLC | Past | 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 and National Provider Directory roles.
-
- Hearing Aid Equipment
- Reading, PA
- NPI 1457590754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1093710196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 MARGIE DR",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310887817",
"telephone_number": "478-953-2705",
"fax_number": "478-953-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 MARGIE DR",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310887817",
"telephone_number": "478-953-2705",
"fax_number": "478-953-2857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPARD",
"first_name": "ANNETTE",
"middle_name": "RHODA",
"name_prefix": "Dr.",
"credential": "AU. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-15",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD001218",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "GA",
"license": "AUD001218",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000799906B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000799906H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000799906G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000799906E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.