Active NPI
Martha Jane Willis
- Audiologist-Hearing Aid Fitter
- Marietta, GA
National Provider Identifier
1194303420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- HADS001054
- Practice address
- 999 Whitlock Ave SW Ste 8
Marietta, GA 30064-1995 - Phone
- (770) 422-6644
- NPI assigned
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | HADS001054 | Primary |
Addresses
Primary practice location
999 Whitlock Ave SW Ste 8
Marietta, GA 30064-1995
Mailing address
309 Peacock Dr NW
Marietta, GA 30064-1815
Phone (404) 625-6605
Other practice location 1
3495 Piedmont Rd NE Ste 121
Atlanta, GA 30305-1717
Phone (404) 233-3217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Hearing Systems, LLC | Past | Accepting new patients | |
| Audiology Services Company USA, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
| Optimal Hearing Systems, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Hearing Aid Equipment
- Savannah, GA
- NPI 1811295801
-
- Hearing and Speech Clinic/Center
- Atlanta, GA
- NPI 1992169106
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1194303420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 PEACOCK DR NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300641815",
"telephone_number": "404-625-6605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 WHITLOCK AVE SW STE 8",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300641995",
"telephone_number": "770-422-6644"
}
],
"practiceLocations": [
{
"address_1": "3495 Piedmont Rd NE Ste 121",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303051717",
"country_code": "US",
"telephone_number": "404-233-3217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "MARTHA",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": "HADS001054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.