Individual provider Active NPI

Megan Tilley, AUD

  • Audiologist
  • Atlanta, GA
National Provider Identifier
1770153082
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004283 Issued in GA
Practice address
5881 Glendridge Dr NE
Suite 230
Atlanta, GA 30328-3032
Phone
(404) 943-0170
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AUD004283 GA Primary

Addresses

Primary practice location

5881 Glendridge Dr NE
Suite 230
Atlanta, GA 30328-3032

Mailing address

565 Ripplewater Dr SW
Marietta, GA 30064-2474
Phone (727) 686-0063

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest ENT Associates, PC Single Specialty CurrentSince Sep 23, 2021 Accepting new patients
Ear Consultants of Georgia Single Specialty CurrentSince Jun 29, 2021 Accepting new patients

Locations

13 Reinhardt College Pkwy
Canton, GA 30114

80 Lacy St NW
Marietta, GA 30060
Phone (770) 429-0507

5881 Glenridge Dr
Ste 230
Sandy Springs, GA 30328
Phone (404) 943-0170

960 Woodstock Pkwy
Ste 100
Woodstock, GA 30188
Phone (678) 483-8833

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1770153082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 RIPPLEWATER DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642474",
            "telephone_number": "727-686-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 GLENDRIDGE DR NE",
            "address_2": "SUITE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283032",
            "telephone_number": "404-943-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.