Individual provider Active NPI

Sela Olivia Petersen, AUD

  • Audiologist
  • Alpharetta, GA
National Provider Identifier
1760274666
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004516 Issued in GA
Practice address
3333 Old Milton Pkwy Ste 520
Alpharetta, GA 30005-4626
Phone
(770) 777-1100
Fax
(770) 751-9089
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004516 GA Primary

Addresses

Primary practice location

3333 Old Milton Pkwy Ste 520
Alpharetta, GA 30005-4626

Mailing address

3333 Old Milton Pkwy Ste 520
Alpharetta, GA 30005-4626
Phone (770) 777-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 Johnson Ferry Rd
Atlanta, GA 30342-1611

1000 Johnson Fy Rd NE
Atlanta, GA 30342

Northside Hospital Managed Care Dept
905 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, P.a. PastSince May 25, 2025 Accepting new patients
Tennessee Ear, Nose & Throat Consultants, PC Audiologist PastSince May 25, 2025 Accepting new patients

Organizations & group practices 2

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1760274666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 OLD MILTON PKWY STE 520",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054626",
            "telephone_number": "770-777-1100",
            "fax_number": "770-751-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 OLD MILTON PKWY STE 520",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054626",
            "telephone_number": "770-777-1100",
            "fax_number": "770-751-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "SELA",
        "middle_name": "OLIVIA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.