Nikki Degeorge Weaver, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003619 Issued in GA

Practice address

2301 Newnan Crossing Blvd
Ste 160
Newnan, GA 30265

Phone

(770) 254-2224

Fax

(770) 254-2225

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Nikki Jean Degeorge Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Coweta Hearing ClinicGroup PAC ID 0446267041, 3 clinicians

Fayette Hearing Clinic IncGroup PAC ID 7517060114, 3 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.

• Coweta Hearing Clinic

  • Audiologist
  • Newnan, GA
  • NPI 1518177146
  Medicare reassignment Care Compare group NPD Authorized official
• Fayette Hearing Clinic Inc

  dba Fayette Hearing Clinic

  • Audiologist
  • Fayetteville, GA
  • NPI 1952437055
  Medicare reassignment Care Compare group
• American Hearing Centers

  dba DBA: Hearing Doctors of Georgia

  • Audiologist
  • Riverdale, GA
  • NPI 1912190661
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1306806625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NEWNAN CROSSING BLVD",
            "address_2": "STE 160",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-254-2224",
            "fax_number": "770-254-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NEWNAN CROSSING BLVD",
            "address_2": "STE 160",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-254-2224",
            "fax_number": "770-254-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Eastbrook Bnd Ste A",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302691530",
            "country_code": "US",
            "telephone_number": "770-631-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "NIKKI",
        "middle_name": "DEGEORGE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD003619",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216785196A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "DEGEORGE",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel Joseph Watmore, PA-C
• Lisa D Watson, LPN
• Susan Cohan Watson, CFNP
• Daniel Lee Watts, PA-C
• Amanda Weathers, NP
• Alexis W Webb, DPT
• Demetrice M Webb, MS OTR/L
• Kaitlin Webb, RBT
• Michael Adelbert Webber, M.D.
• Emma Myslewicz Weese, FNP-C

• Audiologist in Newnan, GA
• Providers in Newnan, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.