Individual provider Active NPI

Madison Ansbach

  • Audiologist
  • Athens, GA
National Provider Identifier
1346086196
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004406 Issued in GA
Practice address
150 Nacoochee Ave
Athens, GA 30601-1823
Phone
(706) 546-7908
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004406 GA Primary

Addresses

Primary practice location

150 Nacoochee Ave
Athens, GA 30601-1823

Mailing address

150 Nacoochee Ave
Athens, GA 30601-1823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007000951 GA Practitioner - Qualified Audiologist 0244761872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pennsylvania State University College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Hearing CenterGroup PAC ID 3274527122, 6 clinicians
ENT of Athens, LLCGroup PAC ID 8426129412, 17 clinicians

Practice addresses (Care Compare)

150 Nacoochee Ave
Athens, GA 30601-1823
Phone (706) 546-5689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD004406GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Hearing Center Audiologist CurrentSince Oct 1, 2024 Accepting new patients
ENT of Athens, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

150 Nacoochee Ave
Athens, GA 30601
Phone (706) 546-5689

8130 Macon Hwy
Athens, GA 30606
Phone (706) 546-7908

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1346086196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NACOOCHEE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NACOOCHEE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011823",
            "telephone_number": "706-546-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSBACH",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.