Carly Davis Ducharme, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD004279 Issued in GA

Practice address

3929 Peachtree Rd NE Ste 100
Brookhaven, GA 30319-3374

Phone

(770) 740-1860

Fax

(770) 516-8768

NPI assigned

Jun 15, 2021

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialty

Qualified Audiologist

Education

University of South Alabama College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson Audiology of Cartersville IncGroup PAC ID 8325351992, 2 clinicians

Peachtree Hearing LLCGroup PAC ID 4385912385, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johnson Audiology of Cartersville Inc

  • Audiologist
  • Cartersville, GA
  • NPI 1033508270
  Medicare reassignment Care Compare group NPD
• Peachtree Hearing LLC

  • Audiologist
  • Marietta, GA
  • NPI 1164968152
  Medicare reassignment Care Compare group NPD
• Johnson Audiology

  • Hearing Aid Equipment
  • Cartersville, GA
  • NPI 1245579986
  NPD
• ENT of Georgia, LLC

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1922046424
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1609444736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2698",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881384",
            "telephone_number": "770-516-1775",
            "fax_number": "770-516-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 PEACHTREE RD NE STE 100",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193374",
            "telephone_number": "770-740-1860",
            "fax_number": "770-516-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHARME",
        "first_name": "CARLY",
        "middle_name": "DAVIS",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine Jean Douglas, LCSW
• Paulette Douse, RBT
• Patricia Louise Drerup-Cotter, LPC
• Johnathan S Dubin, D.M.D.
• Zachary Dubin, DMD
• Shareida Dukes, RBT
• Eximen Benira Dulcio
• Katrina A Dumas, LPC
• Jaime Devin Dunn, PHARM.D
• Camille Dyer, LMT

• Audiologist in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.