Individual provider Active NPI

Chelsey Nicole Taylor

  • Audiologist
  • Conyers, GA
National Provider Identifier
1285129569
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004302 Issued in GA
Practice address
1370 Wellbrook Cir NE
Conyers, GA 30012-3872
Phone
(770) 922-5458
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004302 GA Primary

Addresses

Primary practice location

1370 Wellbrook Cir NE
Conyers, GA 30012-3872

Mailing address

1370 Wellbrook Cir NE
Conyers, GA 30012-3872
Phone (770) 922-5458

Other identifiers 1

IdentifierTypeStateIssuer
056941867OtherGADRIVERS LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013001409 GA Practitioner - Qualified Audiologist 5991103426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Surgical Professional Services LLCGroup PAC ID 3375774011, 38 clinicians

Practice addresses (Care Compare)

738 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-4466
Phone (770) 495-3820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD004302GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Surgical Professional Services, LLC CurrentSince Feb 23, 2023 Accepting new patients
American Hearing Centers Audiologist CurrentSince Jul 18, 2022 Accepting new patients
Northeast Atlanta Ear Nose & Throat, PC CurrentSince Mar 21, 2022 Accepting new patients
Piedmont Cardiology of Atlanta, LLC PastSince Oct 1, 2021 Accepting new patients
Northlake Anesthesia Professionals, LLC PastSince Sep 1, 2020 Accepting new patients

Locations

2089 Teron Trce
Ste 215
Dacula, GA 30019
Phone (678) 835-1135

1260 Highway 54 W
Ste 203
Fayetteville, GA 30214
Phone (770) 460-8988

738 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (770) 495-3820

748 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (404) 297-4230

766 Walther Rd
Ste 300
Lawrenceville, GA 30046
Phone (770) 237-3000

275 Upper Riverdale Rd SW
Ste A
Riverdale, GA 30274
Phone (770) 991-6755

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1285129569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "770-922-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "770-922-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHELSEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "056941867",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.

Verify at the official NPI Registry.