Kerry Bodnar Evans, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003929 Issued in GA

Practice address

2424 Double Churches Rd
Columbus, GA 31909-2741

Phone

(706) 324-6112

Fax

(706) 596-8259

NPI assigned

May 30, 2013

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

Other identifiers 2

Other names 1

• Kerry Elizabeth Bodnar Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upson Surgical Associates, LLCGroup PAC ID 2062690480, 18 clinicians

Practice addresses (Care Compare)

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.

• Upson Surgical Associates, LLC

  • Surgery Physician
  • Thomaston, GA
  • NPI 1790076974
  Medicare reassignment Care Compare group NPD
• Columbus Speech & Hearing Center

  • Speech-Language Pathologist
  • Columbus, GA
  • NPI 1467576140

  Audiologist

  NPD

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1639516628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 DOUBLE CHURCHES RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092741",
            "telephone_number": "706-324-6112",
            "fax_number": "706-596-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 DOUBLE CHURCHES RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092741",
            "telephone_number": "706-324-6112",
            "fax_number": "706-596-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KERRY",
        "middle_name": "BODNAR",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003135237A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149113",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "BODNAR",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Roberts Evangelista, M.D.
• Chelsey Lynne Evangeliste, BA
• Barbara Evans
• Carolyn Marie Evans, CAC I
• Daghia Evans
• Kimberly Nicole Evans, FNP-BC
• Malinda Evans
• Mary Evans
• Niya Evans, PP,BS
• Paula Janell Evans, CNNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.