Individual provider Active NPI

Jiovanne Neal Hughart, AUD

  • Audiologist
  • Marietta, GA
National Provider Identifier
1205837705
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
937 Issued in GA
Practice address
4800 Olde Towne Pkwy
Ste 360
Marietta, GA 30068-4357
Phone
(770) 971-1533
Fax
(770) 971-4846
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 937 GA Primary

Addresses

Primary practice location

4800 Olde Towne Pkwy
Ste 360
Marietta, GA 30068-4357

Mailing address

4800 Olde Towne Pkwy
Ste 360
Marietta, GA 30068-4357
Phone (770) 971-1533

Other identifiers 2

IdentifierTypeStateIssuer
000664782HMedicaidGA
000664782AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050520000586 GA Practitioner - Qualified Audiologist 5991799462 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1982
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)

748 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3394
Phone (770) 339-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
937GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Concussion Center CurrentSince Nov 22, 2021 Accepting new patients
American Hearing Centers Audiologist CurrentSince Apr 8, 2004 Accepting new patients
Topple Diagnostics CurrentSince Oct 19, 2021 Accepting new patients
Georgia Surgical Professional Services, LLC CurrentSince Mar 1, 2014 Accepting new patients

Locations

2200 Century Pkwy NE
Ste 260
Atlanta, GA 30345
Phone (404) 267-1818

550 Peachtree St NE
Ste 1640
Atlanta, GA 30308
Phone (404) 653-0830

1260 Highway 54 W
Ste 203
Fayetteville, GA 30214
Phone (770) 460-8988

1260 Highway 54 W
Ste 204
Fayetteville, GA 30214
Phone (770) 460-9777

748 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (404) 297-4230

4800 Olde Towne Pkwy
Ste 360
Marietta, GA 30068
Phone (770) 953-1414

275 Upper Riverdale Rd SW
Ste A
Riverdale, GA 30274
Phone (770) 991-6755

5673 Peachtree Dunwoody Rd
Ste 150
Sandy Springs, GA 30342
Phone (404) 297-4230

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25039/brand/2/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1205837705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 OLDE TOWNE PKWY",
            "address_2": "STE 360",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684357",
            "telephone_number": "770-971-1533",
            "fax_number": "770-971-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 OLDE TOWNE PKWY",
            "address_2": "STE 360",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684357",
            "telephone_number": "770-971-1533",
            "fax_number": "770-971-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHART",
        "first_name": "JIOVANNE",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000664782H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000664782A",
            "state": "GA"
        }
    ],
    "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 Feb 1, 2017; 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.