Lindsey Kiesgen, AU.D. – Audiologist

Key facts

NPI: 1124560503
Entity type: Individual (NPI type 1)
Primary specialty: Audiologist 231H00000X
License: AUD004278
Practice address: 214 Village Center Pkwy
Stockbridge, GA 30281-9044
Phone: (770) 507-0384
NPI assigned: Nov 16, 2016
Sex: Female
Sole proprietor: No

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.

American Hearing Centers Audiologist · Riverdale, GA · NPI 1912190661

Medicare reassignment NPD AUDIOLOGIST · GA
Piedmont Ear Nose &Throat Associates PC Otolaryngology/Facial Plastic Surgery Physician · Atlanta, GA · NPI 1245305879

Medicare reassignment NPD GA
Mitchell'S Place, Inc. Behavior Analyst · Birmingham, AL · NPI 1235263419

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20211008000703	GA	Practitioner - Qualified Audiologist	7416355201	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
American Hearing Centers	Audiologist	Current since Jul 17, 2023	Accepting new patients
Piedmont Ear Nose &Throat Associates PC		Current since Sep 28, 2021	Accepting new patients
Mitchell'S Place, Inc.		Past	Accepting new patients

Locations

1720 Peachtree St NW
Ste 200
Atlanta, GA 30309
Phone (404) 351-5045

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

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X
Audiologist	231H00000X	AUD004278		Yes

Addresses

Primary practice location

214 Village Center Pkwy
Stockbridge, GA 30281-9044

Mailing address

214 Village Center Pkwy
Stockbridge, GA 30281-9044
Phone (770) 507-0384

Other providers in Stockbridge, GA

Samuel Eric Khair, DO
Fahad Khan, MD
Ramsha Rehan Khan, PAC
Navita Khatri, DPM
Kids First Pediatric Group, LLC
Alen Crystal Kim
Diana Kim, D.O.
Sora Kim
Daphene Luvata Kimball-Butler, RN.PCM.CLC.SANE.
Nia Louise Kimbro, FNP

All providers in Stockbridge, GA · Audiologist in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.