Individual provider Active NPI

G'Anne Thomas, AUD

  • Audiologist-Hearing Aid Fitter
  • Athens, GA
National Provider Identifier
1679564553
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
01447 Issued in GA
Practice address
1061 Dowdy Road
Suite 204
Athens, GA 30606
Phone
(706) 549-3111
Fax
(706) 549-0488
NPI assigned
Oct 31, 2005
Last updated
Jun 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 01447 GA Primary

Addresses

Primary practice location

1061 Dowdy Road
Suite 204
Athens, GA 30606

Mailing address

1041 Rosewood TRL
Watkinsville, GA 30677-1582
Phone (706) 549-3111

Other identifiers 5

IdentifierTypeStateIssuer
389677518AMedicaidGA
389677518DMedicaidFL
389677518EMedicaidGA
389677518FMedicaidGA
389677518BMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000781 GA Practitioner - Qualified Audiologist 9830158781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Consulting and Hearing ServicesGroup PAC ID 8123087079, 2 clinicians

Practice addresses (Care Compare)

1580 Mars Hill Rd
Suite B
Watkinsville, GA 30677-4886
Phone (706) 549-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01447GAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Consulting & Hearing Services CurrentSince Aug 1, 2004 Accepting new patients

Locations

1061 Dowdy Rd
Ste 204
Athens, GA 30606
Phone (706) 549-3111

1077 Baxter St
Ste I
Athens, GA 30606
Phone (706) 549-3111

12877 Jones St
Ste B
Lavonia, GA 30553

123 Lee Byrd Rd
Loganville, GA 30052
Phone (678) 580-3313

1580 Mars Hill Rd
Ste B
Watkinsville, GA 30677
Phone (706) 549-3111

Organizations & group practices 1

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1679564553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 ROSEWOOD TRL",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771582",
            "telephone_number": "706-549-3111",
            "fax_number": "706-549-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 DOWDY ROAD",
            "address_2": "SUITE 204",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-549-3111",
            "fax_number": "706-549-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "G'ANNE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "01447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389677518A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389677518D",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389677518E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389677518F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389677518B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.