Carla Spyies Smiley, AU.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003830 Issued in GA

Practice address

1216 Dawnview Dr
Locust Grove, GA 30248-7424

Phone

(404) 884-5218

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Onsite Audiology, LLC

  • Hearing and Speech Clinic/Center
  • Locust Grove, GA
  • NPI 1053985903
  Authorized official Same address or phone

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1699857714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 DAWNVIEW DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487424",
            "telephone_number": "404-884-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 DAWNVIEW DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487424",
            "telephone_number": "404-884-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "CARLA",
        "middle_name": "SPYIES",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01116",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://onsiteaudiologyga.free.beeceptor.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1216 Dawnview Dr",
            "city": "Locust Grove",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302487424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shield Care Transport LLC
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• Smile Parlor LLC
• Fonda Kay Smith
• Jewel Bernadette Smith, DDS
• Monica Mone' Smith, DPT
• Randall C Smith, RPH
• Shanay Francine Smith, FNP

• Audiologist in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.