Active NPI
Melinda Shea White, AU.D.FAAA,CCC-A
- Audiologist
- Warner Robins, GA
National Provider Identifier
1205988078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003181
- Practice address
- 1719 Russell Pkwy, BLDG
Central Ga Professional Hearing
Warner Robins, GA 31088 - Phone
- (478) 923-0106
- Fax
- (478) 922-5211
- NPI assigned
- Jan 18, 2007
- 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 | AUD003181 | GA | Primary |
Addresses
Primary practice location
1719 Russell Pkwy, BLDG
Central Ga Professional Hearing
Warner Robins, GA 31088
Mailing address
1719 Russell Pkwy, BLDG
Central Ga Professional Hearing
Warner Robins, GA 31088
Phone (478) 923-0106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1719 Russell Pkwy
BLDG 300
Warner Robins, GA 31088-5759
Phone (478) 923-0106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Surgical Associates of Central Ga, PC | Current | Accepting new patients |
Locations
1719 Russell Pkwy
Bldg 300
Warner Robins, GA 31088
Phone (478) 922-9222
Organizations & group practices 1
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Warner Robins, GA
- NPI 1972655215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205988078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 RUSSELL PKWY, BLDG",
"address_2": "CENTRAL GA PROFESSIONAL HEARING",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "31088",
"telephone_number": "478-923-0106",
"fax_number": "478-922-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 RUSSELL PKWY, BLDG",
"address_2": "CENTRAL GA PROFESSIONAL HEARING",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "31088",
"telephone_number": "478-923-0106",
"fax_number": "478-922-5211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MELINDA",
"middle_name": "SHEA",
"credential": "AU.D.FAAA,CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.