Active NPI
Deedra Alford, AU.D.
- Audiologist
- Atlanta, GA
National Provider Identifier
1326599747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD004046
- Practice address
- 5455 Meridian Marks Rd
Suite 130
Atlanta, GA 30342-1654 - Phone
- (404) 591-1884
- NPI assigned
- Oct 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | AUD004046 | GA | Primary |
Addresses
Primary practice location
5455 Meridian Marks Rd
Suite 130
Atlanta, GA 30342-1654
Mailing address
900 Venue Way
Apt 9301
Alpharetta, GA 30005-4563
Phone (309) 287-3767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD004046 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Ear, Nose, & Throat of Atlanta, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Otolaryngology Physician
- Atlanta, GA
- NPI 1134380017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1326599747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 VENUE WAY",
"address_2": "APT 9301",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054563",
"telephone_number": "309-287-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 MERIDIAN MARKS RD",
"address_2": "SUITE 130",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421654",
"telephone_number": "404-591-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFORD",
"first_name": "DEEDRA",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD004046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.