Individual provider Active NPI

Jaida Anecia Myles, AUD

  • Audiologist
  • Marietta, GA
National Provider Identifier
1760273593
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004455 Issued in GA
Practice address
4800 Olde Towne Pkwy Ste 360
Marietta, GA 30068-4396
Phone
(770) 971-1533
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004455 GA Primary

Addresses

Primary practice location

4800 Olde Towne Pkwy Ste 360
Marietta, GA 30068-4396

Mailing address

4800 Olde Towne Pkwy Ste 360
Marietta, GA 30068-4396
Phone (770) 971-1533

Other practice location 1

900 Towne Lake Pkwy Ste 302
Woodstock, GA 30189-1604
Phone (770) 971-1533

Other names 1

  • Jaida Anecia Barnes Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729002966 GA Practitioner - Qualified Audiologist 3577070036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Surgical Professional Services LLCGroup PAC ID 3375774011, 38 clinicians

Practice addresses (Care Compare)

4800 Olde Towne Pkwy
Suite 360
Marietta, GA 30068-4396
Phone (770) 953-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Surgical Professional Services, LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

748 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (404) 297-4230

4800 Olde Towne Pkwy
Ste 360
Marietta, GA 30068
Phone (770) 971-1533

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

900 Towne Lake Pkwy
Ste 302
Woodstock, GA 30189
Phone (404) 303-3157

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1760273593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 OLDE TOWNE PKWY STE 360",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684396",
            "telephone_number": "770-971-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 OLDE TOWNE PKWY STE 360",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684396",
            "telephone_number": "770-971-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Towne Lake Pkwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301891604",
            "country_code": "US",
            "telephone_number": "770-971-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYLES",
        "first_name": "JAIDA",
        "middle_name": "ANECIA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIDA",
            "last_name": "BARNES",
            "middle_name": "ANECIA",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.