Active NPI
Maureen Cassidy Riski, AU.D.
- Audiologist
- Alpharetta, GA
National Provider Identifier
1265606891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003173
- Practice address
- 3333 Old Milton Pkwy Ste 520
Alpharetta, GA 30005-4626 - Phone
- (770) 777-1100
- Fax
- (770) 751-9089
- NPI assigned
- Apr 15, 2008
- 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 | AUD003173 | GA | Primary |
Addresses
Primary practice location
3333 Old Milton Pkwy Ste 520
Alpharetta, GA 30005-4626
Mailing address
3495 Piedmont Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7000
Other names 1
- Maureen Cassidy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD003173 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Surgical Professional Services LLC | Current | Accepting new patients | |
| Thomas a. Johnson, DDS | Past | Accepting new patients |
Locations
5670 Peachtree Dunwoody Rd
Ste 1280
Sandy Springs, GA 30342
Phone (404) 257-1589
5730 Glenridge Dr
Ste T200
Sandy Springs, GA 30328
Phone (404) 256-5428
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Interoperability endpoints
- maureen.riski.p137@direct.tenet.nextgenshare.com
Organizations & group practices 2
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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Oral and Maxillofacial Radiology Dentistry
- Roswell, GA
- NPI 1699945311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1265606891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT ROAD, NE",
"address_2": "NINE PIEDMONT CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-364-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 OLD MILTON PKWY STE 520",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054626",
"telephone_number": "770-777-1100",
"fax_number": "770-751-9089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISKI",
"first_name": "MAUREEN",
"middle_name": "CASSIDY",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-15",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAUREEN",
"last_name": "CASSIDY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.