Individual provider Active NPI

Deborah Trauth Woodward, AUD, CCC-A

  • Audiologist
  • Suwanee, GA
National Provider Identifier
1437347424
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD002017 Issued in GA
Practice address
4045 Johns Creek Pkwy
Suite B
Suwanee, GA 30024-1253
Phone
(770) 814-1260
Fax
(770) 814-1161
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD002017 GA Primary

Addresses

Primary practice location

4045 Johns Creek Pkwy
Suite B
Suwanee, GA 30024-1253

Mailing address

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

Other practice location 1

280 Heritage Walk Ste 300
Woodstock, GA 30188
Phone (770) 726-8948

Other practice location 2

726 S Enota Dr NE Ste B
Gainesville, GA 30501
Phone (678) 971-4647

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000632 GA Practitioner - Qualified Audiologist 5395805394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

4045 Johns Creek Pkwy B
Suwanee, GA 30024-1218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Audiology and Hearing Aid Center, LLC Audiologist Current Accepting new patients
North Georgia Audiology and Hearing Aid Center, LLC Audiologist CurrentSince Jul 1, 2013 Accepting new patients
North Georgia Audiology and Hearing Aid Center, LLC Audiologist CurrentSince Jul 1, 2013 Accepting new patients

Locations

726 S Enota Dr NE
Ste B
Gainesville, GA 30501
Phone (678) 971-4647

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

280 Heritage Walk
Ste 300
Woodstock, GA 30188
Phone (770) 726-8948

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.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1437347424",
    "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": "4045 JOHNS CREEK PKWY",
            "address_2": "SUITE B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241253",
            "telephone_number": "770-814-1260",
            "fax_number": "770-814-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Heritage Walk Ste 300",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "30188",
            "country_code": "US",
            "telephone_number": "770-726-8948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "726 S Enota Dr NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "678-971-4647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "DEBORAH",
        "middle_name": "TRAUTH",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD002017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.