Individual provider Active NPI

Miranda R. Ross, AU.D.

  • Audiologist
  • Evans, GA
National Provider Identifier
1386830578
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003831 Issued in GA
Practice address
340 N Belair Rd
Evans, GA 30809-3000
Phone
(706) 868-5676
Fax
(706) 868-5671
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2523 CA
Audiologist 231H00000X AUD003831 GA Primary

Addresses

Primary practice location

340 N Belair Rd
Evans, GA 30809-3000

Mailing address

207 Skinner Rd
Augusta, GA 30907-3832
Phone (949) 375-7298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091231000176 GA Practitioner - Qualified Audiologist 0446332191 Reassigns benefits to 1 organization
I20180926000639 SC Practitioner - Qualified Audiologist 0446332191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Pittsburgh School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Associates of South Carolina IncGroup PAC ID 9537109376, 5 clinicians

Practice addresses (Care Compare)

105 E Hugh St
Suite 103
North Augusta, SC 29841-2925
Phone (803) 441-3937

39 Varden Dr
Suite a
Aiken, SC 29803-5202
Phone (803) 641-6104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4088SCMDGeneral Practice Dentistry
AUD003831GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta ENT PC Current Accepting new patients
360Care LLC Audiologist CurrentSince Feb 3, 2020 Accepting new patients
Hearing Associates of South Carolina, Inc. Audiologist CurrentSince Nov 20, 2020 Accepting new patients
360Care LLC Audiologist CurrentSince Feb 3, 2020 Accepting new patients

Locations

804 Scott Nixon Memorial Dr
#D
Augusta, GA 30907

340 N Belair Rd
Evans, GA 30809
Phone 7068685676650

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

170 University Pkwy
Aiken, SC 29801
Phone (803) 649-9975

39 Varden Dr
Ste A
Aiken, SC 29803
Phone (803) 641-6104

1703 Laurel St
Columbia, SC 29201
Phone 24852821166

Organizations & group practices 5

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1386830578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SKINNER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073832",
            "telephone_number": "949-375-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093000",
            "telephone_number": "706-868-5676",
            "fax_number": "706-868-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MIRANDA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2523",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.