Individual provider Active NPI

Karla Pyle McKenzie, AUD

  • Audiologist
  • Richmond Hill, GA
National Provider Identifier
1104186337
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD001397 Issued in GA
Practice address
128 Frances Meeks Way Ste 1
Richmond Hill, GA 31324-3984
Phone
(912) 445-4710
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD001397 GA Primary
Audiologist-Hearing Aid Fitter 237600000X AUD001397 GA

Addresses

Primary practice location

128 Frances Meeks Way Ste 1
Richmond Hill, GA 31324-3984

Mailing address

322 Commercial Dr
Suite 2
Savannah, GA 31406-3625
Phone (912) 355-2335

Other identifiers 1

IdentifierTypeStateIssuer
003152506GMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141104002487 GA Practitioner - Qualified Audiologist 5395967475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Hearing Aid Place LLCGroup PAC ID 0648667113, 2 clinicians

Practice addresses (Care Compare)

128 Frances Meeks Way
Suite 1
Richmond Hill, GA 31324-3984
Phone (912) 655-4417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD001397GAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
My Hearing Aid Place, LLC Audiologist-Hearing Aid Fitter CurrentSince Feb 1, 2022 Accepting new patients
Coastal Ear Nose & Throat, LLC PastSince Jan 1, 2017 Accepting new patients
Georgia Ear Associates PC Past Accepting new patients

Locations

128 Frances Meeks Way
Ste 1
Richmond Hill, GA 31324
Phone (912) 445-4710

714 Mall Blvd
Ste A1
Savannah, GA 31406

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.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1104186337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR",
            "address_2": "SUITE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063625",
            "telephone_number": "912-355-2335",
            "fax_number": "912-355-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FRANCES MEEKS WAY STE 1",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243984",
            "telephone_number": "912-445-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KARLA",
        "middle_name": "PYLE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD001397",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD001397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003152506G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.