Individual provider Active NPI

Christina Zane Luczynski, AU.D.

  • Audiologist
  • Stockbridge, GA
National Provider Identifier
1376565887
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003687 Issued in GA
Practice address
1101 Hospital Dr
Suite 100a
Stockbridge, GA 30281-9075
Phone
(770) 474-7416
Fax
(770) 692-0761
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003687 GA Primary

Addresses

Primary practice location

1101 Hospital Dr
Suite 100a
Stockbridge, GA 30281-9075

Mailing address

1101 Hospital Dr
Suite 100a
Stockbridge, GA 30281-9075
Phone (770) 474-7416

Other names 1

  • Christina Leigh Zane Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000320 GA Practitioner - Qualified Audiologist 3971679622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Atlanta Ear Nose and Throat PCGroup PAC ID 7113908302, 12 clinicians

Practice addresses (Care Compare)

1240 Hwy 54 W
Suite 710
Fayetteville, GA 30214-4565
Phone (678) 534-5922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD003687GAMDAudiologist

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1376565887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HOSPITAL DR",
            "address_2": "SUITE 100A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819075",
            "telephone_number": "770-474-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HOSPITAL DR",
            "address_2": "SUITE 100A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819075",
            "telephone_number": "770-474-7416",
            "fax_number": "770-692-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCZYNSKI",
        "first_name": "CHRISTINA",
        "middle_name": "ZANE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "ZANE",
            "middle_name": "LEIGH",
            "credential": "M.C.D., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.