Individual provider Active NPI

Charles Cresawn, AU.D

  • Audiologist
  • Auburn, AL
National Provider Identifier
1457928566
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1089A Issued in AL
Practice address
2245 Springwood Dr
Auburn, AL 36830-7231
Phone
(706) 326-6357
NPI assigned
Jun 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1089A AL Primary

Addresses

Primary practice location

2245 Springwood Dr
Auburn, AL 36830-7231

Mailing address

2245 Springwood Dr
Auburn, AL 36830-7231
Phone (706) 326-6357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129000834 AL Practitioner - Qualified Audiologist 7618367012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.49 of 100Reported as group
Quality
100
Promoting interoperability
98
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Ear, Nose, & Throat, PC CurrentSince Nov 4, 2021 Accepting new patients
Homestead Hearing Audiologist CurrentSince Feb 6, 2022 Accepting new patients

Locations

1965 1st Ave
Opelika, AL 36801
Phone (334) 705-0012

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.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1457928566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 SPRINGWOOD DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307231",
            "telephone_number": "706-326-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 SPRINGWOOD DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307231",
            "telephone_number": "706-326-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESAWN",
        "first_name": "CHARLES",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1089A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.