Audiology Center of Snellville LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003479 Issued in GA

Legal business name

AUDIOLOGY CENTER OF SNELLVILLE LLC

Practice address

2176 Oak Rd
Suite C
Snellville, GA 30078-2374

Phone

(770) 972-4327

Fax

(770) 972-4101

NPI assigned

Jun 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Frederick Vaught, AU.D.NPI 1992706154

Title

President

Phone

(770) 972-4327

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Frederick Vaught, AUD

  • Audiologist
  • Snellville, GA
  • NPI 1992706154
  Medicare reassignment Care Compare group NPD Authorized official
• Adam Lopez, M.A./CCC-A

  • Audiologist
  • Snellville, GA
  • NPI 1619933801
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1154760908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 OAK RD",
            "address_2": "SUITE C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782374",
            "telephone_number": "770-972-4327",
            "fax_number": "770-972-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 OAK RD",
            "address_2": "SUITE C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782374",
            "telephone_number": "770-972-4327",
            "fax_number": "770-972-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY CENTER OF SNELLVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "VAUGHT",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-972-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Snellville, GA
• Providers in Snellville, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.