Individual provider Active NPI

Zaan Z Ali, AU.D.

  • Audiologist
  • Decatur, GA
National Provider Identifier
1649824152
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004349 Issued in GA
Practice address
1270 McConnell Dr Ste D
Decatur, GA 30033-3507
Phone
(404) 500-1026
NPI assigned
Aug 1, 2019
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AUD004349 GA
Audiologist 231H00000X AUD004349 GA Primary
Assistive Technology Supplier Audiologist 231HA2500X AUD004349 GA
Assistive Technology Practitioner Audiologist 231HA2400X AUD004349 GA

Addresses

Primary practice location

1270 McConnell Dr Ste D
Decatur, GA 30033-3507

Mailing address

1270 McConnell Dr Ste D
Decatur, GA 30033-3507
Phone (404) 500-1026

Other identifiers 3

IdentifierTypeStateIssuer
14334762OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
AUD004349OtherGAGEORGIA BOARD OF SPEECH PATHOLOGY AND AUDIOLOGY
2201001745OtherVAVIRGINIA BOARD OF AUDIOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509000920 GA Practitioner - Qualified Audiologist 6002248317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Premier Audiology Associates, LLCGroup PAC ID 4789075565, 5 clinicians

Practice addresses (Care Compare)

1270 McConnell Dr
Suite D
Decatur, GA 30033-3507
Phone (404) 500-1026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD004349GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Audiology Associates, LLC Audiologist CurrentSince Jan 28, 2023 Accepting new patients
Ear Nose and Throat and Facial Plastic Surgery Center of Frederick PastSince Aug 1, 2019 Accepting new patients

Locations

1270 McConnell Dr
Ste D
Decatur, GA 30033
Phone (404) 321-4567

1991 N Williamsburg Dr
Ste A100
Decatur, GA 30033

111 Fieldstone Dr
Ste 106
Milledgeville, GA 31061
Phone (478) 452-0578

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1649824152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 MCCONNELL DR STE D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333507",
            "telephone_number": "404-500-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 MCCONNELL DR STE D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333507",
            "telephone_number": "404-500-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ZAAN",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD004349",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004349",
            "primary": true
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "GA",
            "license": "AUD004349",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "GA",
            "license": "AUD004349",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "14334762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF SPEECH PATHOLOGY AND AUDIOLOGY",
            "identifier": "AUD004349",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF AUDIOLOGY",
            "identifier": "2201001745",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.