Stacy L Sanders, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A3297 Issued in MS

Practice address

5740 Getwell Rd. Building 3 Unit B
Southaven, MS 38672

Phone

(662) 510-2138

Fax

(662) 510-2962

NPI assigned

Dec 8, 2008

Last updated

Jul 21, 2022By 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 2

Addresses

Other identifiers 1

Other names 1

• Stacy Leann Roberts Former name

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Hearing of TennesseeGroup PAC ID 3072818517, 7 clinicians

Feltz Vision Center Ms LLCGroup PAC ID 2264776350, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

88.82

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFDIBD

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.

• Desoto Eye and Ear

  • Audiologist
  • Southaven, MS
  • NPI 1770996407
  Medicare reassignment NPD Authorized official
• Feltz Vision Center Ms LLC

  • Optometrist
  • Madison, MS
  • NPI 1932682515

  Audiologist

  Medicare reassignment Care Compare group NPD
• Mobile Hearing of Tennessee

  dba Special Care Hearing

  • Audiologist
  • Nashville, TN
  • NPI 1790153583
  Medicare reassignment Care Compare group NPD
• Desoto Thyroid and Endocrinology

  • Specialist
  • Southaven, MS
  • NPI 1710134945
  NPD

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659516524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 GETWELL RD. BUILDING 3 UNIT B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38672",
            "telephone_number": "662-510-2138",
            "fax_number": "662-510-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 GETWELL RD. BUILDING 3 UNIT B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38672",
            "telephone_number": "662-510-2138",
            "fax_number": "662-510-2962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1838 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043941",
            "country_code": "US",
            "telephone_number": "901-726-0044",
            "fax_number": "901-726-0858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9245 Poplar Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381387907",
            "country_code": "US",
            "telephone_number": "901-759-9157",
            "fax_number": "901-726-0858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A3297",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A0000001385",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07038576",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "ROBERTS",
            "middle_name": "LEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jennifer C Sanders, FNP-BC
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• Trenise Sartin, PHARMD
• Amanda S Savage, FNP
• Adil Sayeed

• Audiologist in Southaven, MS
• Providers in Southaven, MS by specialty
• Audiologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.