Organization Active NPI

Laurie Nelson, Inc.

Doing business as Marietta Hearing Center

  • Audiologist
  • Marietta, GA
National Provider Identifier
1356425912
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1814 Issued in GA
Legal business name
LAURIE NELSON, INC.
Doing business as
Marietta Hearing Center
Practice address
990 Whitlock Ave NW
Suite D
Marietta, GA 30064-1940
Phone
(770) 427-3033
Fax
(770) 427-3035
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Laurie Ellen Nelson, M.S., FAAANPI 1811093784
Title
Owner, Audiologist
Phone
(770) 427-3033

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
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 1814 GA Primary

Addresses

Primary practice location

990 Whitlock Ave NW
Suite D
Marietta, GA 30064-1940

Mailing address

990 Whitlock Ave NW
Suite D
Marietta, GA 30064-1940
Phone (770) 427-3033

Other names 1

  • Marietta Hearing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141215001474 GA Part B Supplier - Clinic/Group Practice 4486976867 Receives reassigned benefits from 3 practitioners
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

707 Whitlock Ave SW
Ste A36
Marietta, GA 30064
Phone (770) 427-3033

990 Whitlock Ave NW
Ste D
Marietta, GA 30064
Phone (770) 427-3033

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356425912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 WHITLOCK AVE NW",
            "address_2": "SUITE D",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641940",
            "telephone_number": "770-427-3033",
            "fax_number": "770-427-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 WHITLOCK AVE NW",
            "address_2": "SUITE D",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641940",
            "telephone_number": "770-427-3033",
            "fax_number": "770-427-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE NELSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER, AUDIOLOGIST",
        "authorized_official_telephone_number": "770-427-3033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., FAAA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "GA",
            "license": "1814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marietta Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.