Peachtree Hearing LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003887 Issued in GA

Legal business name

PEACHTREE HEARING LLC

Practice address

4939 Lower Roswell Rd Ste 107a
Marietta, GA 30068-4382

Phone

(470) 485-4327

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Wikoff

Title

Owner

Phone

(949) 769-9286

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Alex Jean Culberson, AUD

  • Audiologist
  • Lawrenceville, GA
  • NPI 1164161006
  Medicare reassignment Care Compare group NPD
• Carly Davis Ducharme, AUD

  • Audiologist
  • Brookhaven, GA
  • NPI 1609444736
  Medicare reassignment Care Compare group NPD
• Melissa Mooney Wikoff, AU.D

  • Audiologist
  • Atlanta, GA
  • NPI 1487943734
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1164968152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 LOWER ROSWELL RD STE 107A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684382",
            "telephone_number": "470-485-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 LOWER ROSWELL RD STE 107A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684382",
            "telephone_number": "470-485-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "WIKOFF",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-769-9286",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulo Olinda
• Darrin D Payne, MA, APC, BS MIN.
• Emily K Payne, PA-C
• Paul J Payne, M.D.
• Henry Payton, PA
• Peachtree Orthopaedic Clinic, PC
• Peachtree Relations Inc
• Peachtree Spine & Pain Physicians, Inc
• Peachy Keen Chiropractic, LLC
• Christy McPherson Peacock, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.