NPIMap

Organization Active NPI

Athens Oconee Audiology LLC

  • Hearing and Speech Clinic/Center
  • Watkinsville, GA
National Provider Identifier
1114209970
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
640 Issued in GA
Legal business name
ATHENS OCONEE AUDIOLOGY LLC
Practice address
1610 Mars Hill Rd
Suite a
Watkinsville, GA 30677-4891
Phone
(706) 310-7115
Fax
(706) 310-7116
NPI assigned
Sep 16, 2011
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Ms. Robin Barnes Hardin INPI 1164526695
Title
Owner/ Audiologist
Phone
(706) 310-7115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 640 GA Primary

Addresses

Primary practice location

1610 Mars Hill Rd
Suite a
Watkinsville, GA 30677-4891

Mailing address

1610 Mars Hill Rd
Suite a
Watkinsville, GA 30677-4891
Phone (706) 310-7115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111017000136 GA Part B Supplier - Clinic/Group Practice 4688846603 Receives reassigned benefits from 4 practitioners
Practice locations: Watkinsville, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1114209970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MARS HILL RD",
            "address_2": "SUITE A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774891",
            "telephone_number": "706-310-7115",
            "fax_number": "706-310-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MARS HILL RD",
            "address_2": "SUITE A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774891",
            "telephone_number": "706-310-7115",
            "fax_number": "706-310-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS OCONEE AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "BARNES",
        "authorized_official_title_or_position": "OWNER/ AUDIOLOGIST",
        "authorized_official_telephone_number": "706-310-7115",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "GA",
            "license": "640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.