Individual provider Active NPI

Melinda Shea White, AU.D.FAAA,CCC-A

  • Audiologist
  • Warner Robins, GA
National Provider Identifier
1205988078
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003181 Issued in GA
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20111114000637 GA Practitioner - Qualified Audiologist 3375717135 Reassigns benefits to 1 organization

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
ENT Surgical Associates of Central Ga, PCGroup PAC ID 6103003066, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
ENT Surgical Associates of Central Ga, PC CurrentSince Jan 29, 1996 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.

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.

Verify at the official NPI Registry.