Individual provider Active NPI

Carmen Hobbs Wright

  • Specialist
  • Milledgeville, GA
National Provider Identifier
1467493460
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AUD00003567 Issued in GA
Practice address
111 Fieldstone Dr Ste 106
Milledgeville, GA 31061-7108
Phone
(478) 452-0578
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AUD00003567 GA Primary

Addresses

Primary practice location

111 Fieldstone Dr Ste 106
Milledgeville, GA 31061-7108

Mailing address

1051 Parkside CMNS Ste 106
Suite 103
Greensboro, GA 30642-4516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070418000257 GA Practitioner - Qualified Audiologist 4789789850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Premier Audiology Associates, LLCGroup PAC ID 4789075565, 5 clinicians

Practice addresses (Care Compare)

1050 Parkside CMNS
Suite 103
Greensboro, GA 30642-4525
Phone (706) 454-0578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD00003567GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Audiology Associates, LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

1051 Parkside Cmns
Ste 103
Greensboro, GA 30642
Phone (706) 454-0578

1050 Parkside Cmns
Ste 103
Greensboro, GA 30642
Phone (706) 454-2222

111 Fieldstone Dr
Ste 106
Milledgeville, GA 31061
Phone (478) 452-0578

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1467493460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PARKSIDE CMNS STE 106",
            "address_2": "SUITE 103",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR STE 106",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617108",
            "telephone_number": "478-452-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CARMEN",
        "middle_name": "HOBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "AUD00003567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.