Individual provider Active NPI

Melissa Mooney Wikoff, AU.D

  • Audiologist
  • Atlanta, GA
National Provider Identifier
1487943734
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003887 Issued in GA
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

Updated by the provider on May 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20140303000429 GA Practitioner - Qualified Audiologist 0749467991 Reassigns benefits to 1 organization

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
Peachtree Hearing LLCGroup PAC ID 4385912385, 3 clinicians

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

LicenseStateTypeSpecialty
AU2750CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Hearing LLC Audiologist CurrentSince Mar 22, 2017 Accepting new patients
Newport Mesa Audiology Inc PastSince Jan 1, 2017 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.