Active NPI
Jennifer Lynette Tinkey, AUD
- Audiologist
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003991
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085674600 | Medicaid | FL |
Other names 1
- Dr. Jennifer Lynette McClellan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AUD003991 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Hearing Centers | Audiologist | Current | Accepting new patients |
| Audiology Services Company USA, LLC | Audiologist | Current | Accepting new patients |
| Audiology Services Company USA, LLC | Current | 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.
-
- Audiologist
- Riverdale, GA
- NPI 1912190661
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Audiologist, GA
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
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.