NPIMap

Organization Active NPI

North Georgia Audiology and Hearing Aid Center, LLC

  • Audiologist
  • Woodstock, GA
National Provider Identifier
1407267362
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
NORTH GEORGIA AUDIOLOGY AND HEARING AID CENTER, LLC
Practice address
280 Heritage Walk Ste 300
Woodstock, GA 30188-3838
Phone
(770) 726-8948
NPI assigned
May 14, 2014
Last updated
Apr 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Dr. Deborah T Woodward, AUDNPI 1437347424
Title
Audiologist
Phone
(770) 814-1260

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 231H00000X NU Primary

Addresses

Primary practice location

280 Heritage Walk Ste 300
Woodstock, GA 30188-3838

Mailing address

4045 Johns Creek Pkwy Ste B
Suwanee, GA 30024-1218
Phone (770) 814-1260

Other names 2

  • Johns Creek Audiology and Hearing Aid Center, LLC Former legal business name
  • North Georgia Audiology Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@ngaudiology.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130814000575 GA Part B Supplier - Clinic/Group Practice 2062654437 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gainesville, GA; Suwanee, GA; Woodstock, GA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Johns Creek Audiology and Hearing Aid Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4045 Johns Creek Pkwy
Ste B
Suwanee, GA 30024
Phone (770) 814-1260

203 Woodpark Pl
Ste B100
Woodstock, GA 30188
Phone (770) 560-4775

Practitioners & affiliated clinicians

Practitioners 6

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": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1407267362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 JOHNS CREEK PKWY STE B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241218",
            "telephone_number": "770-814-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HERITAGE WALK STE 300",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883838",
            "telephone_number": "770-726-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA AUDIOLOGY AND HEARING AID CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "770-814-1260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@ngaudiology.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "280 Heritage Walk Ste 300",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301883838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Johns Creek Audiology and Hearing Aid Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "North Georgia Audiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.