Individual provider Active NPI

Callie Henley Adams, AUD

  • Audiologist
  • Atlanta, GA
National Provider Identifier
1447801170
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
5461 Meridian Marks Rd Ste 130
Atlanta, GA 30342-3009
Phone
(404) 591-1884
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728001632 GA Practitioner - Qualified Audiologist 9931502986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Surgical Professional Services, LLC CurrentSince Jul 14, 2019 Accepting new patients
Pediatric Ear, Nose, & Throat of Atlanta, PC PastSince Sep 29, 2019 Accepting new patients

Locations

748 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (404) 297-4230

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5461 Meridian Marks Rd Ste 130
Atlanta, GA 30342-3009

Mailing address

5461 Meridian Marks Rd Ste 130
Atlanta, GA 30342-3009

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2019.

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1447801170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 MERIDIAN MARKS RD STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 MERIDIAN MARKS RD STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423009",
            "telephone_number": "404-591-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CALLIE",
        "middle_name": "HENLEY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

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