Susan Marie Porter, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1484 Issued in TN

Practice address

1618 Gunbarrel Rd Ste 102
Chattanooga, TN 37421

Phone

(423) 710-1432

Fax

(423) 710-1433

NPI assigned

Sep 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

University of Tennessee, HSC, College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson Audiology Management Company IncGroup PAC ID 6507052149, 11 clinicians

Practice addresses (Care Compare)

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.

• Johnson Audiology Management Company Inc

  • Audiologist
  • Chattanooga, TN
  • NPI 1346557410
  Medicare reassignment Care Compare group NPD
• Johnson Audiology of Cartersville Inc

  • Audiologist
  • Cartersville, GA
  • NPI 1033508270
  Medicare reassignment NPD
• Greater Knoxville Ear, Nose and Throat Associates, PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Powell, TN
  • NPI 1578647806
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1306095682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 GUNBARREL RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214139",
            "telephone_number": "423-710-1432",
            "fax_number": "423-710-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 GUNBARREL RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-710-1432",
            "fax_number": "423-710-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Saint Mary St",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379174514",
            "country_code": "US",
            "telephone_number": "865-521-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": "1484",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306095682",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q012334",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dajon Porter
• Haley Porter, PHARMD
• Joshua Porter, PHYSICIAN ASSISTANT
• Laura L Porter, FNP-BC
• Samuel Porter, M.D.
• Charles A Portera Sr., MD
• Joseph Christopher Portera, MD
• Joann Poschke
• Connor Nelson Posey, MD
• Positive Behavior Supports Corp

• Audiologist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.