Amarachukwu Ezenwa, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AUD004380 Issued in GA

Practice address

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

Phone

(770) 394-9499

NPI assigned

Aug 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment Care Compare group NPD
• Aria Hearing Care LLC

  • Audiologist
  • Loxahatchee, FL
  • NPI 1477225035

  GA

  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Hearing Associates, PC

  • Audiologist
  • Milledgeville, GA
  • NPI 1730372327
  NPD (past)

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1295418606",
    "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",
            "telephone_number": "770-394-9499"
        },
        {
            "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": "770-394-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZENWA",
        "first_name": "AMARACHUKWU",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD004380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Yvonne Engberg, MS, RDN, LD
• Jessica Frederick Englehardt, BSN, RN
• Esj Aesthetics LLC
• Evolution Chiropractic
• Onoriode Evwaraye, LCSW
• Jonie D Fawley, PA
• Megan Faye, PSY.D.
• Sara Elizabeth Feigenbaum, AUD
• Alec Feldman
• Reed Fernandez

• Audiologist-Hearing Aid Fitter in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Audiologist-Hearing Aid Fitter in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.