Individual provider Active NPI

Sara Elizabeth Feigenbaum, AUD

  • Audiologist
  • Dunwoody, GA
National Provider Identifier
1760907018
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004086 Issued in GA
Practice address
1713 Mount Vernon Rd Ste 4
Dunwoody, GA 30338-4243
Phone
(770) 394-9499
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004086 GA Primary

Addresses

Primary practice location

1713 Mount Vernon Rd Ste 4
Dunwoody, GA 30338-4243

Mailing address

1713 Mount Vernon Rd Ste 4
Dunwoody, GA 30338-4243
Phone (770) 394-9499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220221002064 GA Practitioner - Qualified Audiologist 5890052039 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Audiology Associates, LLC Audiologist CurrentSince Jan 24, 2022 Accepting new patients

Locations

1713 Mount Vernon Rd
Ste 4
Dunwoody, GA 30338
Phone (770) 394-9499

111 Fieldstone Dr
Ste 106
Milledgeville, GA 31061
Phone (478) 452-0578

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760907018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 MOUNT VERNON RD STE 4",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384243",
            "telephone_number": "770-394-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 MOUNT VERNON RD STE 4",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384243",
            "telephone_number": "770-394-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIGENBAUM",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.