Shonda Shanel Bailey, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AUD004055 Issued in GA

Practice address

6130 Southard Trce
Cumming, GA 30040-6475

Phone

(770) 781-2376

Fax

(770) 781-2377

NPI assigned

Aug 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Apex Professional Audiology, LLC

  • Audiologist-Hearing Aid Fitter
  • Cumming, GA
  • NPI 1346875390
  Medicare reassignment NPD Authorized official
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• Head & Neck Surgery of Kansas City P a

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Kansas City, MO
  • NPI 1952455065
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1154515427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 SOUTHARD TRCE",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406475",
            "telephone_number": "770-781-2376",
            "fax_number": "770-781-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 SOUTHARD TRCE",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406475",
            "telephone_number": "770-781-2376",
            "fax_number": "770-781-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SHONDA",
        "middle_name": "SHANEL",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KS",
            "license": "2004",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "2004018732",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD004055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bob B Bagheri, M.D.
• Shayan Bagheri, PA-C
• Sayed Bahaduri
• Felicity Dwamena Baidoo
• Jaymie Bailey, PA
• David Andrew Bak, D.C.
• Allyson Cole Baker, NP
• Ashley B. Baker, PSYD
• Jacqueline R Baker, PA
• Katherine S Baker

• Audiologist-Hearing Aid Fitter in Cumming, GA
• Providers in Cumming, GA by specialty
• Audiologist-Hearing Aid Fitter in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.