Organization Active NPI

Apex Professional Audiology, LLC

Doing business as Audiology HEARS

  • Audiologist-Hearing Aid Fitter
  • Cumming, GA
National Provider Identifier
1346875390
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
APEX PROFESSIONAL AUDIOLOGY, LLC
Doing business as
Audiology HEARS
Practice address
6130 Southard Trce
Cumming, GA 30040-6475
Phone
(770) 781-2376
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Shonda S Bailey, AUDNPI 1154515427
Title
Owner, Audiologist
Phone
(770) 781-2376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

6130 Southard Trce
Cumming, GA 30040-6475

Mailing address

6130 Southard Trce
Cumming, GA 30040-6475
Phone (770) 781-2376

Other names 1

  • Audiology HEARS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200416001208 GA Part B Supplier - Clinic/Group Practice 5092145987 Receives reassigned benefits from 1 practitioner
Practice locations: Cumming, GA

National Provider Directory

National Provider Directory

Locations

6130 Southard Trce
Cumming, GA 30040
Phone (770) 781-2376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1346875390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 SOUTHARD TRCE",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406475",
            "telephone_number": "770-781-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 SOUTHARD TRCE",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406475",
            "telephone_number": "770-781-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX PROFESSIONAL AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, AUDIOLOGIST",
        "authorized_official_telephone_number": "770-781-2376",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audiology HEARS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.