Active NPI
Adam Lopez, M.A./CCC-A
- Audiologist
- Snellville, GA
National Provider Identifier
1619933801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003745
- Practice address
- 2176 Oak Rd Ste D
Snellville, GA 30078-2374 - Phone
- (770) 972-4327
- Fax
- (770) 972-4101
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD003745 | GA | Primary |
Addresses
Primary practice location
2176 Oak Rd Ste D
Snellville, GA 30078-2374
Mailing address
2176 Oak Rd Ste D
Snellville, GA 30078-2374
Phone (770) 972-4327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0521 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Louisiana State University School of Medicine in New Orleans, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2176 Oak Rd
Suite C
Snellville, GA 30078-2374
Phone (770) 972-4327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD003745 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Center of Snellville LLC | Audiologist | Current | Accepting new patients |
| Gravante Chiropractic & Nutrition Inc. | Past | Accepting new patients |
Locations
2176 Oak Rd
Ste C
Snellville, GA 30078
Phone (770) 972-4327
2176 Oak Rd
Ste D
Snellville, GA 30078
Phone (678) 990-9400
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 and National Provider Directory roles.
-
- Audiologist
- Snellville, GA
- NPI 1154760908
-
- Chiropractor
- Snellville, GA
- NPI 1841536000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1619933801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2176 OAK RD STE D",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782374",
"telephone_number": "770-972-4327",
"fax_number": "770-972-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2176 OAK RD STE D",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782374",
"telephone_number": "770-972-4327",
"fax_number": "770-972-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ADAM",
"name_prefix": "Mr.",
"credential": "M.A./CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0521",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.