Active NPI
Sela Olivia Petersen, AUD
- Audiologist
- Alpharetta, GA
National Provider Identifier
1760274666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD004516
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Associates, P.a. | Past | Accepting new patients | |
| Tennessee Ear, Nose & Throat Consultants, PC | Audiologist | Past | 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.
-
- Specialist
- Knoxville, TN
- NPI 1073508347
-
- Otolaryngology Physician
- Knoxville, TN
- NPI 1255352266
Audiologist
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.