Active NPI
Diane L Kaplan, AU.D.
- Audiologist
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003838
- Practice address
- 6002 Professional Pkwy
100
Douglasville, GA 30134-5600 - Phone
- (770) 949-4200
- NPI assigned
- Jul 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD003838 | GA | Primary |
Addresses
Primary practice location
6002 Professional Pkwy
100
Douglasville, GA 30134-5600
Mailing address
6002 Professional Pkwy
100
Douglasville, GA 30134-5600
Phone (770) 949-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110408000525 | GA | Practitioner - Qualified Audiologist | 4880878271 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
4441 Atlanta Rd SE
Suite 204
Smyrna, GA 30080-6442
Phone (470) 610-0145
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
6002 Professional Pkwy
Suite 100
Douglasville, GA 30134-5603
Phone (770) 949-4200
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003838 | GA | MD | Hematology & Oncology Physician |
| AUD003838 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
1790 Mulkey Rd
Ste 7
Austell, GA 30106
Phone (770) 819-1435
6002 Professional Pkwy
Ste 100
Douglasville, GA 30134
Phone (770) 949-4200
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Interoperability endpoints
- dkaplan26592@directwellstar.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Family Medicine Physician
- Marietta, GA
- NPI 1194021733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1427369727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 PROFESSIONAL PKWY",
"address_2": "100",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345600",
"telephone_number": "770-949-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 PROFESSIONAL PKWY",
"address_2": "100",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345600",
"telephone_number": "770-949-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN",
"first_name": "DIANE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.