Active NPI
Kerry Ann Cohen, AUD
- Audiologist
- Chestnut Hill, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 835
- Practice address
- 1244 Boylston St
Suite 303
Chestnut Hill, MA 02467 - Phone
- (617) 383-6800
- Fax
- (617) 383-6801
- NPI assigned
- Sep 13, 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 | 835 | MA | Primary |
Addresses
Primary practice location
1244 Boylston St
Suite 303
Chestnut Hill, MA 02467
Mailing address
110 Carlton Street
593 Aderhold Hall
Athens, GA 30602-1526
Phone (706) 542-4598
Other names 1
- Kerry Ann Wagemann
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Carlton St
Athens, GA 30602-1526
Phone (706) 542-4598
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 835 | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Audiology Associates, LLC | Audiologist | Current | Accepting new patients |
| Hearing Improvement Center of Monroe, LLC | Audiologist | Current | Accepting new patients |
| Board of Regents of the University System of Georgia | Current | Accepting new patients | |
| Board of Regents of the University System of Georgia | Audiologist | Current | Accepting new patients |
| Vernick & Gopal,LLC | Past | Accepting new patients | |
| Cambridge Family Health North | Past | Accepting new patients |
Locations
110 Carlton St
Athens, GA 30602
Phone (706) 542-4598
110 Carlton St
#593
Athens, GA 30602
Phone (706) 424-6844
111 Fieldstone Dr
Ste 106
Milledgeville, GA 31061
Phone (478) 452-0578
500 Great Oaks Dr
Ste 13
Monroe, GA 30655
Phone (706) 785-0500
Organizations & group practices 6
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.
-
dba The University of Georgia Speech and Hearing Clinic
- Audiologist
- Athens, GA
- NPI 1376640557
-
dba Atlanta Hearing Associates
- Audiologist
- Dunwoody, GA
- NPI 1245994904
-
- Audiologist
- Monroe, GA
- NPI 1417290743
-
dba University of Georgia College of Pharmacy
- Pharmacy
- Athens, GA
- NPI 1629394820
-
- Primary Care Clinic/Center
- Cambridge, MA
- NPI 1174821532
-
- Otolaryngology Physician
- Chestnut Hill, MA
- NPI 1427178052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608768000000",
"number": "1144325424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CARLTON STREET",
"address_2": "593 ADERHOLD HALL",
"city": "ATHENS",
"state": "GA",
"postal_code": "306021526",
"telephone_number": "706-542-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1244 BOYLSTON ST",
"address_2": "SUITE 303",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "02467",
"telephone_number": "617-383-6800",
"fax_number": "617-383-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "KERRY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2020-12-24",
"certification_date": "2020-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "WAGEMANN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.