Individual provider Active NPI

Steven W Sick, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Canton, GA
National Provider Identifier
1447416102
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AUD003634 Issued in GA
Practice address
215 Riverstone Dr
Canton, GA 30114-5256
Phone
(770) 345-6600
Fax
(770) 345-6611
NPI assigned
Aug 1, 2008
Last updated
May 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2026

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 AUD003634 GA Primary

Addresses

Primary practice location

215 Riverstone Dr
Canton, GA 30114-5256

Mailing address

215 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 345-6600

Other identifiers 2

IdentifierTypeStateIssuer
807918741AMedicaidGA
Q062834MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141021001956 GA Practitioner - Qualified Audiologist 4880815539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose, and Throat Specialist- Cherokee Sinus CenterGroup PAC ID 9133100597, 11 clinicians

Practice addresses (Care Compare)

215 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 345-6600

Merit-based Incentive Payment System (MIPS)

Final score
96.7 of 100Reported as group
Quality
93.4
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD003634GAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Anesthesiology, Inc PastSince Nov 17, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1447416102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RIVERSTONE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145256",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RIVERSTONE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145256",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICK",
        "first_name": "STEVEN",
        "middle_name": "W",
        "credential": "CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD003634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807918741A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q062834",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; 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.