Individual provider Active NPI

Julia Fahrney, AUD

  • Audiologist
  • Decatur, GA
National Provider Identifier
1467818872
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004015 Issued in GA
Practice address
484 Irvin CT Ste 140
Decatur, GA 30030-5406
Phone
(404) 297-4230
Fax
(404) 297-4252
NPI assigned
Jan 14, 2016
Last updated
Mar 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004015 GA Primary

Addresses

Primary practice location

484 Irvin CT Ste 140
Decatur, GA 30030-5406

Mailing address

484 Irvin CT Ste 140
Decatur, GA 30030-5406
Phone (404) 297-4230

Other identifiers 1

IdentifierTypeStateIssuer
003175485AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308002416 GA Practitioner - Qualified Audiologist 1052617677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Surgical Professional Services LLCGroup PAC ID 3375774011, 38 clinicians

Practice addresses (Care Compare)

1790 Presidential Cir
Suite a
Snellville, GA 30078-5688
Phone (404) 297-4230

748 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3394
Phone (770) 339-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD004015GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Surgical Professional Services, LLC CurrentSince Jan 20, 2016 Accepting new patients
ENT of Georgia, LLC Past Accepting new patients

Locations

550 Peachtree St NE
Ste 1640
Atlanta, GA 30308
Phone (404) 653-0830

484 Irvin Ct
Ste 140
Decatur, GA 30030
Phone (404) 297-1785

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

1790 Presidential Cir
Ste A
Snellville, GA 30078
Phone (404) 297-4230

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": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1467818872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 IRVIN CT STE 140",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305406",
            "telephone_number": "404-297-4230",
            "fax_number": "404-297-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 IRVIN CT STE 140",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305406",
            "telephone_number": "404-297-4230",
            "fax_number": "404-297-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHRNEY",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003175485A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.