Individual provider Active NPI

Grace Margaret Young, AUD, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Athens, TN
National Provider Identifier
1447097530
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
605 Congress Pkwy S
Athens, TN 37303-2259
Phone
(423) 212-9110
Fax
(423) 641-0955
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X Primary

Addresses

Primary practice location

605 Congress Pkwy S
Athens, TN 37303-2259

Mailing address

4220 Ocoee St N # 102
Cleveland, TN 37312-2395
Phone (423) 641-0956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828004482 TN Practitioner - Qualified Audiologist 4688113111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahlberg Audiology and Hearing Aid Services LLCGroup PAC ID 9133455363, 3 clinicians

Practice addresses (Care Compare)

4220 Ocoee St N
Suite 102
Cleveland, TN 37312-4829
Phone (423) 641-0956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2156TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ahlberg Audiology and Hearing Aid Services LLC CurrentSince Jul 10, 2024 Accepting new patients

Locations

605 Congress Pkwy S
Athens, TN 37303
Phone (423) 745-2727

4220 Ocoee St N
#102
Cleveland, TN 37312

4220 Ocoee St N
Ste 102
Cleveland, TN 37312
Phone (423) 641-0956

Organizations & group practices 1

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1447097530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 OCOEE ST N # 102",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122395",
            "telephone_number": "423-641-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 CONGRESS PKWY S",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032259",
            "telephone_number": "423-212-9110",
            "fax_number": "423-641-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GRACE",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.