Active NPI
Amy C Nichols, AU.D., PH.D.
- Audiologist
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1046A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1046A | AL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| University of South Alabama | Current | 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.
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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.