Active NPI
Audiology at Home
- Audiologist
- Atlanta, GA
National Provider Identifier
1477715902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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 DirectoryLocations
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.