Active NPI
Wellstar
- Audiologist
- Marietta, GA
National Provider Identifier
1275834616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003861
- Legal business name
- WELLSTAR
- Practice address
- 320 Kennestone Hospital Blvd
Suite 107
Marietta, GA 30060-1161 - Phone
- (770) 793-7417
- NPI assigned
- Nov 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Ann Ratliff, AU.D.
- Title
- Audiologist
- Phone
- (770) 793-7414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD003861 | GA | Primary |
Addresses
Primary practice location
320 Kennestone Hospital Blvd
Suite 107
Marietta, GA 30060-1161
Mailing address
320 Kennestone Hospital Blvd
Suite 107
Marietta, GA 30060-1161
Phone (770) 793-7417
Other names 1
- ENT Associates of North Georgia
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://epicsoap.wellstar.org/fhirproxy/api/FHIR/R4/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289865600000",
"number": "1275834616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 KENNESTONE HOSPITAL BLVD",
"address_2": "SUITE 107",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601161",
"telephone_number": "770-793-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 KENNESTONE HOSPITAL BLVD",
"address_2": "SUITE 107",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601161",
"telephone_number": "770-793-7417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSTAR",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-16",
"last_updated": "2010-11-16",
"status": "A",
"authorized_official_last_name": "RATLIFF",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "770-793-7414",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ENT Associates of North Georgia",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Marietta, GA
- Isabell Juliane Wells, PA-C, MS, RD, LD
- Joseph Thomas Wells
- Kelsey Wells, M.A. CCC-SLP
- Wellspine LLC
- Wellspring Pharmacy LLC
- Wellstar Cardiovascular Medicine, LLC
- Wellstar Cardiovascular Medicine, LLC
- Wellstar Cardiovascular Medicine, LLC
- Wellstar Cardiovascular Medicine, LLC
- Wellstar Cherokee Street Internal and Preventive Medicine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.