Individual provider Active NPI

Jennifer Lynette Tinkey, AUD

  • Audiologist
  • Newnan, GA
National Provider Identifier
1104926575
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003991 Issued in GA
Practice address
25 Bullsboro Dr
Newnan, GA 30263-1570
Phone
(770) 251-2927
Fax
(770) 251-2995
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003991 GA Primary

Addresses

Primary practice location

25 Bullsboro Dr
Newnan, GA 30263-1570

Mailing address

1260 Highway 54 W
Suite 203
Fayetteville, GA 30214-4514
Phone (770) 631-1833

Other identifiers 1

IdentifierTypeStateIssuer
085674600MedicaidFL

Other names 1

  • Dr. Jennifer Lynette McClellan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150416001509 GA Practitioner - Qualified Audiologist 2668790924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Hearing CentersGroup PAC ID 6002800570, 3 clinicians

Practice addresses (Care Compare)

1260 Hwy 54 W
Fayetteville, GA 30214-4513
Phone (770) 631-1833

25 Bullsboro Dr
Newnan, GA 30263-1570
Phone (770) 251-2927

275 Upper Riverdale Rd SW
Suite a
Riverdale, GA 30274-4919
Phone (770) 996-2861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD003991GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
American Hearing Centers Audiologist CurrentSince Feb 18, 2015 Accepting new patients
Audiology Services Company USA, LLC Audiologist CurrentSince Dec 1, 2025 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

1260 Highway 54 W
Ste 203
Fayetteville, GA 30214
Phone (770) 460-8988

25 Bullsboro Dr
Newnan, GA 30263
Phone (770) 251-2927

275 Upper Riverdale Rd SW
Ste A
Riverdale, GA 30274
Phone (770) 991-6755

214 Village Center Pkwy
Ste 214
Stockbridge, GA 30281
Phone (770) 507-0384

300 Creekstone Rdg
Woodstock, GA 30188
Phone (678) 225-8838

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1104926575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 HIGHWAY 54 W",
            "address_2": "SUITE 203",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144514",
            "telephone_number": "770-631-1833",
            "fax_number": "770-461-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BULLSBORO DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631570",
            "telephone_number": "770-251-2927",
            "fax_number": "770-251-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKEY",
        "first_name": "JENNIFER",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085674600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCCLELLAN",
            "middle_name": "LYNETTE",
            "prefix": "DR.",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.