Active NPI
Melissa Mooney Wikoff, AU.D
- Audiologist
- Atlanta, GA
National Provider Identifier
1487943734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003887
- Practice address
- 280 Old College Way
Atlanta, GA 30328-1046 - Phone
- (470) 485-4327
- NPI assigned
- Apr 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU2750 | CA | |
| Audiologist | 231H00000X | AUD003887 | GA | Primary |
Addresses
Primary practice location
280 Old College Way
Atlanta, GA 30328-1046
Mailing address
PO Box 73051
Marietta, GA 30007-3051
Phone (470) 485-4327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Washington University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4985 Lower Roswell Rd
Marietta, GA 30068-4337
Phone (470) 485-4327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU2750 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Hearing LLC | Audiologist | Current | Accepting new patients |
| Newport Mesa Audiology Inc | Past | Accepting new patients | |
| Atlanta Hearing Associates of Toco Hills, LLC | Audiologist | Past | Accepting new patients |
| Premier Audiology Associates, LLC | Audiologist | Past | Accepting new patients |
Locations
4985 Lower Roswell Rd
Marietta, GA 30068
Phone (470) 485-4327
4939 Lower Roswell Rd
Ste 107A
Marietta, GA 30068
Phone (470) 485-4327
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHFGBA
Organizations & group practices 4
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.
-
- Audiologist
- Marietta, GA
- NPI 1164968152
-
- Audiologist
- Decatur, GA
- NPI 1407231871
-
- Audiologist
- Dunwoody, GA
- NPI 1245994904
-
- Audiologist-Hearing Aid Fitter
- Newport Beach, CA
- NPI 1144385998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1487943734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73051",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300073051",
"telephone_number": "470-485-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 OLD COLLEGE WAY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303281046",
"telephone_number": "470-485-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIKOFF",
"first_name": "MELISSA",
"middle_name": "MOONEY",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-06",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU2750",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003887",
"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 May 13, 2016; 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.