Active NPI
Lyle Drake, AUD
- Audiologist
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003964
- Practice address
- 2080 Newnan Crossing Blvd
Suite 300
Newnan, GA 30265 - Phone
- (770) 955-0270
- Fax
- (770) 955-0271
- NPI assigned
- May 27, 2014
- Sex
- Male
- 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 | AUD003964 | GA | Primary |
Addresses
Primary practice location
2080 Newnan Crossing Blvd
Suite 300
Newnan, GA 30265
Mailing address
1601 Georgian Park
Ste 100
Peachtree City, GA 30269-6968
Phone (770) 955-0270
Other practice location 1
1601 Georgian Park
Ste 100
Peachtree City, GA 30269-6968
Phone (770) 955-0270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2080 Newnan Crossing Blvd E
Suite 300
Newnan, GA 30265-2555
Phone 7709550270109
Merit-based Incentive Payment System (MIPS)
- Final score
- 91 of 100
- Quality
- 90
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD003964 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N Hadley Heindel III, MD, LLC | Current | Accepting new patients | |
| James G. Burson, MD, LLC | Past | Accepting new patients |
Locations
2080 Newnan Crossing Blvd E
Ste 300
Newnan, GA 30265
Phone (770) 955-0270
1601 Georgian Park
#100
Peachtree Cty, GA 30269
Phone (770) 955-0270
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.
-
- Otolaryngology Physician
- Newnan, GA
- NPI 1487198776
-
- Otolaryngology Physician
- Newnan, GA
- NPI 1811431117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1760894737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 GEORGIAN PARK",
"address_2": "STE 100",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302696968",
"telephone_number": "770-955-0270",
"fax_number": "770-955-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 NEWNAN CROSSING BLVD",
"address_2": "SUITE 300",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30265",
"telephone_number": "770-955-0270",
"fax_number": "770-955-0271"
}
],
"practiceLocations": [
{
"address_1": "1601 GEORGIAN PARK",
"address_2": "STE 100",
"address_purpose": "LOCATION",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302696968",
"country_code": "US",
"telephone_number": "770-955-0270",
"fax_number": "770-955-0271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAKE",
"first_name": "LYLE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-27",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.