Individual provider Active NPI

Lacey Lynn Sharp, AU.D.

  • Audiologist
  • Atlanta, GA
National Provider Identifier
1699123190
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
3225 Cumberland Blvd SE Ste 175
Atlanta, GA 30339-6407
Phone
(404) 591-2950
NPI assigned
May 25, 2016
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X GA Primary

Addresses

Primary practice location

3225 Cumberland Blvd SE Ste 175
Atlanta, GA 30339-6407

Mailing address

3225 Cumberland Blvd SE Ste 900
Atlanta, GA 30339-5971
Phone (404) 351-2220

Other names 1

  • Dr. Lacey Behn Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720001285 GA Practitioner - Qualified Audiologist 5395038947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants Hearing Aid Center, LLCGroup PAC ID 2466737432, 2 clinicians

Practice addresses (Care Compare)

3225 Cumberland Blvd SE
Suite 175
Atlanta, GA 30339-6407
Phone (404) 591-2950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants Hearing Aid Center, LLC CurrentSince Jan 4, 2021 Accepting new patients
Audiological Consultants of Atlanta, Inc. Audiologist Past Accepting new patients
Audiology Distribution, LLC PastSince Oct 1, 2024 Accepting new patients
Eca Optical, LLC PastSince Jan 4, 2021 Accepting new patients
Audiological Consultants of Atlanta, Inc. Audiologist PastSince May 1, 2019 Accepting new patients

Locations

3225 Cumberland Blvd SE
Ste 175
Atlanta, GA 30339
Phone (404) 355-9653

3225 Cumberland Blvd SE
Ste 900
Atlanta, GA 30339
Phone (770) 394-4568

Organizations & group practices 5

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1699123190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395971",
            "telephone_number": "404-351-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE STE 175",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396407",
            "telephone_number": "404-591-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "LACEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "BEHN",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.