Active NPI
Vicki Rogers Wauchope, M.ED., CCC/A
- Audiologist
- Fayetteville, GA
National Provider Identifier
1205947405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD0000003372
- Practice address
- 1265 Highway 54 W
Ste 200
Fayetteville, GA 30214-4548 - Phone
- (404) 785-4768
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD0000003372 | GA | Primary |
Addresses
Primary practice location
1265 Highway 54 W
Ste 200
Fayetteville, GA 30214-4548
Mailing address
121 Scatterfoot Dr
Peachtree City, GA 30269-1853
Phone (619) 200-4258
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)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1956 | CA | MD | Occupational Therapy Assistant |
| AUD0000003372 | GA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205947405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SCATTERFOOT DR",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691853",
"telephone_number": "619-200-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 HIGHWAY 54 W",
"address_2": "STE 200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144548",
"telephone_number": "404-785-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAUCHOPE",
"first_name": "VICKI",
"middle_name": "ROGERS",
"name_prefix": "Ms.",
"credential": "M.ED., CCC/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD0000003372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.