Miriam Hope Whatley Wilcox, M.C.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

003569AUD Issued in GA

Practice address

2550 Windy Hill Rd SE
Suite 307
Marietta, GA 30067-8665

Phone

(770) 953-1414

Fax

(770) 953-9474

NPI assigned

May 9, 2007

Last updated

Nov 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Surgical Professional Services LLCGroup PAC ID 3375774011, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Surgical Professional Services, LLC

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1801224506
  Medicare reassignment Care Compare group
• Northside Ear, Nose & Throat, PC

  • Otolaryngology Physician
  • Roswell, GA
  • NPI 1013071273
  NPD (past)
• Thomas a. Johnson, DDS

  • Oral and Maxillofacial Radiology Dentistry
  • Roswell, GA
  • NPI 1699945311
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1174737407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "SUITE 307",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "770-953-1414",
            "fax_number": "770-953-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "SUITE 307",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "770-953-1414",
            "fax_number": "770-953-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "MIRIAM",
        "middle_name": "HOPE WHATLEY",
        "credential": "M.C.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "003569AUD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "003569AUD",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Sue Wiedmann, FNP
• Bailey Wiernusz
• Caroline Wiggins, PTA
• Kenneth Morris Wiggins Jr., D.D.S.
• Charles Wike, M.D.
• Wildbrook Psychiatry, LLC
• Kim Wilder-Dyer, MD
• Marina Shikhris Wilder, MD
• Walter B Wildstein, M.D.
• Wildwood Eye Care LLC

• 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 Nov 22, 2010; 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.