Active NPI
Tonia Payne Stout, M.A.
- Audiologist
- Jasper, GA
National Provider Identifier
1235403734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 003386
- Practice address
- 540 N Main St
Suite C
Jasper, GA 30143-1467 - Phone
- (706) 253-7244
- Fax
- (706) 253-7245
- NPI assigned
- Mar 1, 2012
- Last updated
- Aug 7, 2014
- 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 | 003386 | GA | Primary |
Addresses
Primary practice location
540 N Main St
Suite C
Jasper, GA 30143-1467
Mailing address
215 Shuman Blvd
Suite 401
Naperville, IL 60563-8458
Phone (630) 303-5380
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, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Lacy St NW
Marietta, GA 30060-1112
Phone (770) 427-0368
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003386 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest ENT Associates, PC | Current | Accepting new patients |
Locations
13 Reinhardt College Pkwy
Canton, GA 30114
80 Lacy St NW
Marietta, GA 30060
Phone (770) 429-0507
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1235403734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD",
"address_2": "SUITE 401",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638458",
"telephone_number": "630-303-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 N MAIN ST",
"address_2": "SUITE C",
"city": "JASPER",
"state": "GA",
"postal_code": "301431467",
"telephone_number": "706-253-7244",
"fax_number": "706-253-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "TONIA",
"middle_name": "PAYNE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "003386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.