Individual provider Active NPI

Diana E. Wilson, AUDIOLOGIST

  • Audiologist
  • Eatonton, GA
National Provider Identifier
1568845980
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004388 Issued in GA
Practice address
117 Harmony Xing Ste 8
Eatonton, GA 31024-9548
Phone
(706) 453-2119
Fax
(706) 467-9068
NPI assigned
Jul 2, 2015
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004388 GA Primary
Lactation Consultant (Non-RN) 174N00000X

Addresses

Primary practice location

117 Harmony Xing Ste 8
Eatonton, GA 31024-9548

Mailing address

1020 Parkside Commons
Box 103-40
Greensboro, GA 30642-3217
Phone (865) 680-0085

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

Practice roles

OrganizationSpecialtyStatusNew patients
One Another LLC Lactation Consultant, Non-RN CurrentSince Aug 11, 2024 Accepting new patients
Advanced Audiology & Hearing Care CurrentSince Dec 1, 2023 Accepting new patients

Locations

117 Harmony Xing
Ste 8
Eatonton, GA 31024
Phone (706) 445-3211

1020 Parkside Cmns
#10340
Greensboro, GA 30642
Phone (706) 813-1879

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.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1568845980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PARKSIDE COMMONS",
            "address_2": "BOX 103-40",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423217",
            "telephone_number": "865-680-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HARMONY XING STE 8",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249548",
            "telephone_number": "706-453-2119",
            "fax_number": "706-467-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DIANA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004388",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.