Active NPI
Miranda R. Ross, AU.D.
- Audiologist
- Evans, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003831
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4088 | SC | MD | General Practice Dentistry |
| AUD003831 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta ENT PC | Current | Accepting new patients | |
| 360Care LLC | Audiologist | Current | Accepting new patients |
| Hearing Associates of South Carolina, Inc. | Audiologist | Current | Accepting new patients |
| 360Care LLC | Audiologist | Current | 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.
-
- Audiologist
- Aiken, SC
- NPI 1851446389
-
- Audiologist
- Norcross, GA
- NPI 1669948642
-
- Specialist
- Evans, GA
- NPI 1770649204
-
- Audiologist
- Columbia, SC
- NPI 1619598281
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.