Active NPI
Laura Dennison, MA, CCC-A
- Specialist
- Lilburn, GA
National Provider Identifier
1538228465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1032
- Practice address
- 4145 Lawrenceville Hwy.
Ste. 10a
Lilburn, GA 30044 - Phone
- (770) 717-5711
- Fax
- (770) 717-5612
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1032 | GA | Primary |
Addresses
Primary practice location
4145 Lawrenceville Hwy.
Ste. 10a
Lilburn, GA 30044
Mailing address
4145 Lawrenceville Hwy.
Ste. 10a
Lilburn, GA 30044
Phone (770) 717-5711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00668533C | Medicaid | GA | |
| 00373029C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear Better Holdings of Gwinnett | Past | Accepting new patients | |
| Audiology Associates of Georgia, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Audiology Associates of Georgia
- Audiologist-Hearing Aid Fitter
- Lilburn, GA
- NPI 1922262823
-
dba Audiology Associates of GA
- Audiologist-Hearing Aid Fitter
- Lilburn, GA
- NPI 1760736581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1538228465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 LAWRENCEVILLE HWY.",
"address_2": "STE. 10A",
"city": "LILBURN",
"state": "GA",
"postal_code": "30044",
"telephone_number": "770-717-5711",
"fax_number": "770-717-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4145 LAWRENCEVILLE HWY.",
"address_2": "STE. 10A",
"city": "LILBURN",
"state": "GA",
"postal_code": "30044",
"telephone_number": "770-717-5711",
"fax_number": "770-717-5612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNISON",
"first_name": "LAURA",
"credential": "MA, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "1032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00668533C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00373029C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.