Individual provider Active NPI

Kasheen Fasha Faustin, AUD

  • Audiologist
  • Lawrenceville, GA
National Provider Identifier
1134645948
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004110 Issued in GA
Practice address
600 Professional Dr Ste 120
Lawrenceville, GA 30046-7638
Phone
(770) 740-1860
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004110 GA Primary

Addresses

Primary practice location

600 Professional Dr Ste 120
Lawrenceville, GA 30046-7638

Mailing address

925 N Point Pkwy Ste 130
Alpharetta, GA 30005-5211
Phone (770) 740-1860

Other names 1

  • Kasheen Schultz Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170926002155 GA Practitioner - Qualified Audiologist 8426322736 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Atlanta Ear Nose and Throat, P.C.Group PAC ID 7012979636, 15 clinicians

Practice addresses (Care Compare)

766 Walther Rd
Suite 300
Lawrenceville, GA 30046-8765
Phone (770) 237-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jun 19, 2019 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jun 1, 2022 Accepting new patients
Northeast Atlanta Ear Nose & Throat, PC CurrentSince Sep 18, 2023 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jun 1, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jun 19, 2019 Accepting new patients
Northlake Anesthesia Professionals, LLC CurrentSince Sep 18, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
North Atlanta Ear Nose & Throat PC CurrentSince Nov 1, 2021 Accepting new patients
Hcenti, LLC Past Accepting new patients

Locations

3180 North Point Pkwy
Ste 512
Alpharetta, GA 30005
Phone (678) 679-5070

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

766 Walther Rd
Ste 300
Lawrenceville, GA 30046
Phone (770) 237-3000

3915 Johns Creek Ct
Ste 100
Suwanee, GA 30024
Phone (770) 237-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBIIAD/Endpoint/CBIIAD

Organizations & group practices 9

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1134645948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY STE 130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055211",
            "telephone_number": "770-740-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR STE 120",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467638",
            "telephone_number": "770-740-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSTIN",
        "first_name": "KASHEEN",
        "middle_name": "FASHA",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASHEEN",
            "last_name": "SCHULTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.