Individual provider Active NPI

Susan Abigail Duncan, AU.D.

  • Audiologist
  • Atlanta, GA
National Provider Identifier
1770742553
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003799 Issued in GA
Practice address
755 Mount Vernon Hwy NE
Suite 370
Atlanta, GA 30328-4274
Phone
(404) 252-7368
Fax
(404) 256-7368
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003799 GA Primary

Addresses

Primary practice location

755 Mount Vernon Hwy NE
Suite 370
Atlanta, GA 30328-4274

Mailing address

755 Mount Vernon Hwy NE
Suite 370
Atlanta, GA 30328-4274
Phone (404) 252-7368

Other identifiers 1

IdentifierTypeStateIssuer
003127048GMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090401000127 GA Practitioner - Qualified Audiologist 4183781446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Surgical Professional Services LLCGroup PAC ID 3375774011, 38 clinicians

Practice addresses (Care Compare)

755 Mount Vernon Hwy NE
Suite 370
Sandy Springs, GA 30328-4278
Phone (404) 252-7368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD003799GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Surgical Professional Services, LLC CurrentSince Jul 1, 2016 Accepting new patients

Locations

550 Peachtree St NE
Ste 1640
Atlanta, GA 30308
Phone (404) 653-0830

748 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (404) 297-4230

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

755 Mount Vernon Hwy NE
Ste 370
Sandy Springs, GA 30328
Phone (404) 252-7368

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1770742553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE",
            "address_2": "SUITE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-252-7368",
            "fax_number": "404-256-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE",
            "address_2": "SUITE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-252-7368",
            "fax_number": "404-256-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "SUSAN",
        "middle_name": "ABIGAIL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003127048G",
            "state": "GA"
        }
    ],
    "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 Feb 1, 2017; 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.

Verify at the official NPI Registry.