Active NPI
Marisa Carrozza, AU.D.
- Audiologist
- Greenville, SC
National Provider Identifier
1124791314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4193
- Practice address
- 1 Doctors Dr
Greenville, SC 29605-4266 - Phone
- (864) 572-7001
- NPI assigned
- Jul 26, 2021
- 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 | 4193 | SC | Primary |
Addresses
Primary practice location
1 Doctors Dr
Greenville, SC 29605-4266
Mailing address
201 Rocky Slope Rd Apt 611
Greenville, SC 29607-3951
Phone (224) 637-0981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Louisville School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Doctors Dr
Greenville, SC 29605-4266
Phone (864) 572-7001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group South Carolina, LLC | Current | Accepting new patients |
Locations
1 Doctors Dr
Greenville, SC 29605
Phone (864) 271-3354
124 Verdae Blvd
Ste 300
Greenville, SC 29607
Interoperability endpoints
- https://api.platform.athenahealth.com/29036/brand/1/csg/1/fhir/r4
- marisa.carrozza.1@29036.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Greenville, SC
- NPI 1649875816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1124791314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 ROCKY SLOPE RD APT 611",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073951",
"telephone_number": "224-637-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DOCTORS DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054266",
"telephone_number": "864-572-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROZZA",
"first_name": "MARISA",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "4193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.