NPIMap

Organization Active NPI

Premier Audiology Associates, LLC

Doing business as Atlanta Hearing Associates

  • Audiologist
  • Dunwoody, GA
National Provider Identifier
1245994904
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
PREMIER AUDIOLOGY ASSOCIATES, LLC
Doing business as
Atlanta Hearing Associates
Practice address
1713 Mount Vernon Rd Ste 4
Dunwoody, GA 30338-4243
Phone
(770) 574-4819
NPI assigned
Oct 28, 2021
Last updated
Dec 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Dr. Anesheia Prince, AUDNPI 1922369339
Title
Owner/Ceo
Phone
(770) 256-3388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

1713 Mount Vernon Rd Ste 4
Dunwoody, GA 30338-4243

Mailing address

1713 Mount Vernon Rd Ste 4
Dunwoody, GA 30338-4243

Other names 1

  • Atlanta Hearing Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220105001925 GA Part B Supplier - Clinic/Group Practice 4789075565 Receives reassigned benefits from 9 practitioners
Practice locations: Decatur, GA; Milledgeville, GA; Greensboro, GA

National Provider Directory

National Provider Directory

Locations

1270 McConnell Dr
Ste D
Decatur, GA 30033
Phone (404) 321-4567

1991 N Williamsburg Dr
#A100
Decatur, GA 30033

1991 N Williamsburg Dr
Ste A100
Decatur, GA 30033

1713 Mount Vernon Rd
Ste 4
Dunwoody, GA 30338
Phone (770) 394-9499

1051 Parkside Cmns
Ste 103
Greensboro, GA 30642
Phone (706) 454-0578

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1245994904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 MOUNT VERNON RD STE 4",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 MOUNT VERNON RD STE 4",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384243",
            "telephone_number": "770-574-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER AUDIOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "ANESHEIA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-256-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Hearing Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.