Brandi Nicole Pettis, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003754 Issued in GA

Practice address

818 Saint Sebastian Way
Suite 204
Augusta, GA 30901-2651

Phone

(706) 724-0668

NPI assigned

Mar 25, 2008

Last updated

Mar 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Advanced Audiology Associates, LLC

  • Audiologist
  • Valley Park, MO
  • NPI 1134528375
  Medicare reassignment NPD Authorized official
• Union Professional Hearing Center, LLC

  dba Professional Hearing Center

  • Audiologist
  • Union, MO
  • NPI 1265754279
  NPD
• Southern Otologic Clinic PC

  • Otology & Neurotology Physician
  • Augusta, GA
  • NPI 1184651523
  NPD (past)
• Gregory J Maag, Ma-Ccca Mid America Audiology Group, LTD

  • Audiologist
  • Alton, IL
  • NPI 1720139967
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1235301771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 204",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012651",
            "telephone_number": "706-724-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 204",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012651",
            "telephone_number": "706-724-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIS",
        "first_name": "BRANDI",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Petit, MD
• Amanda Lynn Petrey, PA
• Amanda Petro, MSR, OTR/L
• Lauren F Petro
• Mark Petry
• Lindsey Pettis
• Carla Wilson Petty, NP-C
• Karen Petty, PH.D.
• Hue Pham
• Quyen Hong Pham, MD

• Audiologist in Augusta, GA
• Providers in Augusta, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.