Stacy Leigh Pickelman, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AUD003898 Issued in GA

Practice address

960 Johnson Ferry Rd
Ste 200
Atlanta, GA 30342-1601

Phone

(404) 943-0900

Fax

(404) 943-1390

NPI assigned

Mar 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Ear Nose and Throat Associates PC

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1073655882
  Medicare reassignment NPD
• Bieri Hearing Instruments Inc

  • Hearing Aid Equipment
  • Saginaw, MI
  • NPI 1396842597
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1558660381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD",
            "address_2": "STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421601",
            "telephone_number": "404-943-0900",
            "fax_number": "404-943-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD",
            "address_2": "STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421601",
            "telephone_number": "404-943-0900",
            "fax_number": "404-943-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKELMAN",
        "first_name": "STACY",
        "middle_name": "LEIGH",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD003898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Sue Pichetto, NNP-BC
• David Matthew Pichulik, MD
• Dayana Pickard, PA
• Katherine Elizabeth Pickard, PHD
• Joseph P Pickavance, MS, OTR/L
• Allan Pickens, MD
• Jerry Willie Pickens, JERRY PICKENS
• Megan D Pickens, LCSW
• Susanne Elise Pickering, OTR
• Ashlee Pickett, PSYD

• Audiologist-Hearing Aid Fitter in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Audiologist-Hearing Aid Fitter in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.