Active NPI
Alexis Goldberg Lockhart, AU.D.
- Audiologist
- Gainesville, GA
National Provider Identifier
1306489851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD004211
- Practice address
- 2406 Lighthouse Manor Dr
Gainesville, GA 30501-7401 - Phone
- (770) 536-4352
- Fax
- (770) 532-8165
- NPI assigned
- Oct 28, 2019
- 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 | AUD004211 | GA | Primary |
Addresses
Primary practice location
2406 Lighthouse Manor Dr
Gainesville, GA 30501-7401
Mailing address
2406 Lighthouse Manor Dr
Gainesville, GA 30501-7401
Phone (770) 536-4352
Other names 1
- Alexis Brooke Goldberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.9 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Otolaryngology | Current | Accepting new patients | |
| Milton Hall Surgical Associates, LLC | Past | Accepting new patients | |
| ENT of Georgia, LLC | Past | Accepting new patients |
Locations
1235 Friendship Rd
Ste 100
Braselton, GA 30517
Phone (770) 536-4352
2406 Lighthouse Manor Dr
Gainesville, GA 30501
Phone (404) 536-4352
Interoperability endpoints
- llockhart@negaent.emadirect.md
Organizations & group practices 3
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.
-
- Specialist
- Gainesville, GA
- NPI 1437217734
-
- Otolaryngology Physician
- Atlanta, GA
- NPI 1922046424
-
- Specialist
- Alpharetta, GA
- NPI 1649238460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1306489851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 LIGHTHOUSE MANOR DR",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305017401",
"telephone_number": "770-536-4352",
"fax_number": "770-532-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 LIGHTHOUSE MANOR DR",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305017401",
"telephone_number": "770-536-4352",
"fax_number": "770-532-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKHART",
"first_name": "ALEXIS",
"middle_name": "GOLDBERG",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD004211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "GOLDBERG",
"middle_name": "BROOKE",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.