Individual provider Active NPI

Amy C Nichols, AU.D., PH.D.

  • Audiologist
  • Mobile, AL
National Provider Identifier
1487052957
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1046A Issued in AL
Practice address
5721 USA Dr N
Mobile, AL 36688-0002
Phone
(251) 445-9378
Fax
(251) 445-9377
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1046A AL Primary

Addresses

Primary practice location

5721 USA Dr N
Mobile, AL 36688-0002

Mailing address

PO Box 40277
Mobile, AL 36640-0277
Phone (251) 434-3626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118001562 AL Practitioner - Qualified Audiologist 4082914312 Reassigns benefits to 2 organizations

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
USA Health Physician Billing Services LLCGroup PAC ID 9931436912, 342 clinicians

Practice addresses (Care Compare)

307 N University Blvd
Suite 170
Mobile, AL 36688-0002

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1046AALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
University of South Alabama CurrentSince Oct 13, 2015 Accepting new patients
University of South Alabama CurrentSince Oct 13, 2015 Accepting new patients
University of South Alabama Current Accepting new patients

Locations

5721 USA Dr N
Mobile, AL 36688
Phone (251) 445-9334

5721 Usa N Dr
Mobile, AL 36688
Phone (251) 445-9250

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

5721 Usa N Dr Hahn 1119
Mobile, AL 36688

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

Organizations & group practices 8

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1487052957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40277",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400277",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 USA DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366880002",
            "telephone_number": "251-445-9378",
            "fax_number": "251-445-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "AU.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1046A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.