Individual provider Active NPI

Lucy M Bradshaw, AUD

  • Audiologist
  • Savannah, GA
National Provider Identifier
1659257004
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
5356 Reynolds Street
Suite 505
Savannah, GA 31405
Phone
(912) 354-1515
Fax
(912) 644-0756
NPI assigned
Aug 12, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

5356 Reynolds Street
Suite 505
Savannah, GA 31405

Mailing address

836 E 65TH St Ste 22
Savannah, GA 31405-4493
Phone (912) 819-2622

Other practice location 1

101 St. Joseph's Candler Drive
Suite 210
Pooler, GA 31322
Phone (912) 356-1515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910000262 GA Practitioner - Qualified Audiologist 3274036041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Candler ENT Practice LLCGroup PAC ID 7214157742, 7 clinicians

Practice addresses (Care Compare)

5356 Reynolds St
Suite 505
Savannah, GA 31405-6017
Phone (912) 356-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Candler ENT Practice, LLC Audiologist CurrentSince Aug 1, 2025 Accepting new patients
Georgia Ear Associates PC Past Accepting new patients

Locations

101 Saint Josephs Candler Dr
Ste 210
Pooler, GA 31322

5356 Reynolds St
Ste 505
Savannah, GA 31405

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

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": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1659257004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E 65TH ST STE 22",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054493",
            "telephone_number": "912-819-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS STREET",
            "address_2": "SUITE 505",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-354-1515",
            "fax_number": "912-644-0756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 ST. JOSEPH'S CANDLER DRIVE",
            "address_2": "SUITE 210",
            "address_purpose": "LOCATION",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "31322",
            "country_code": "US",
            "telephone_number": "912-356-1515",
            "fax_number": "912-644-0756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "LUCY",
        "middle_name": "M",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.