Organization Active NPI

Audiology at Home

  • Audiologist
  • Atlanta, GA
National Provider Identifier
1477715902
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
AUDIOLOGY AT HOME
Practice address
2789 Clairmont Rd NE
Atlanta, GA 30329-2700
Phone
(770) 493-8430
Fax
(770) 493-8433
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Corinne M Boodoo, M.S.
Title
Ceo
Phone
(770) 493-8430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

2789 Clairmont Rd NE
Atlanta, GA 30329-2700

Mailing address

3939 Lavista Rd Ste E
#390
Tucker, GA 30084-5162
Phone (770) 493-8430

National Provider Directory

National Provider Directory

Locations

2789 Clairmont Rd NE
Atlanta, GA 30329
Phone (404) 929-0067

1770 Century Blvd NE
Ste A
Atlanta, GA 30345
Phone (404) 320-0204

3939 Lavista Rd
#390
Tucker, GA 30084

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1477715902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 LAVISTA RD STE E",
            "address_2": "#390",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845162",
            "telephone_number": "770-493-8430",
            "fax_number": "770-493-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 CLAIRMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292700",
            "telephone_number": "770-493-8430",
            "fax_number": "770-493-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "BOODOO",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-493-8430",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.