Individual provider Active NPI

Kerry Ann Cohen, AUD

  • Audiologist
  • Chestnut Hill, MA
National Provider Identifier
1144325424
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
835 Issued in MA
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

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120831000631 GA Practitioner - Qualified Audiologist 3072515857 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
835MAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Audiology Associates, LLC Audiologist CurrentSince Oct 1, 2021 Accepting new patients
Hearing Improvement Center of Monroe, LLC Audiologist CurrentSince Feb 21, 2013 Accepting new patients
Board of Regents of the University System of Georgia CurrentSince Jun 25, 2018 Accepting new patients
Board of Regents of the University System of Georgia Audiologist CurrentSince Jun 25, 2018 Accepting new patients
Vernick & Gopal,LLC PastSince Mar 1, 2004 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.

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.

Verify at the official NPI Registry.