Individual provider Active NPI

Sara Martin Woolley, AU.D.

  • Audiologist
  • Duluth, GA
National Provider Identifier
1679601967
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3517 Issued in GA
Practice address
6600 Sugarloaf Pkwy
Suite 800
Duluth, GA 30097-4344
Phone
(770) 476-3005
Fax
(770) 476-0053
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3517 GA Primary

Addresses

Primary practice location

6600 Sugarloaf Pkwy
Suite 800
Duluth, GA 30097-4344

Mailing address

4671 Bentley PL
Duluth, GA 30096-6128
Phone (770) 840-0965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000429 GA Practitioner - Qualified Audiologist 7315955291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Atlanta Ear Nose and Throat, P.C.Group PAC ID 7012979636, 15 clinicians

Practice addresses (Care Compare)

3915 Johns Creek CT
Suite 100
Suwanee, GA 30024-6674
Phone (770) 623-1608

766 Walther Rd
Suite 300
Lawrenceville, GA 30046-8765
Phone (770) 237-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3517GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Atlanta Ear Nose & Throat, PC CurrentSince May 25, 2015 Accepting new patients
Audiological Consultants of Atlanta, Inc. Audiologist PastSince Jun 5, 2006 Accepting new patients
Audigycare, LLC Past Accepting new patients
Northlake Anesthesia Professionals, LLC PastSince Sep 1, 2020 Accepting new patients

Locations

766 Walther Rd
Ste 300
Lawrenceville, GA 30046
Phone (770) 237-3000

4385 Johns Creek Pkwy
Ste 250
Suwanee, GA 30024
Phone (770) 237-3000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679601967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4671 BENTLEY PL",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966128",
            "telephone_number": "770-840-0965",
            "fax_number": "770-476-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 SUGARLOAF PKWY",
            "address_2": "SUITE 800",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974344",
            "telephone_number": "770-476-3005",
            "fax_number": "770-476-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "SARA",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "3517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.