Active NPI
Amy Ledbetter, AUD
- Audiologist
- Roswell, GA
National Provider Identifier
1770744005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003869
- Practice address
- 2500 Hospital Blvd
Ste 450
Roswell, GA 30076 - Phone
- (770) 343-8675
- Fax
- (770) 343-6297
- NPI assigned
- Jun 19, 2008
- 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 | AUD003869 | GA | Primary |
Addresses
Primary practice location
2500 Hospital Blvd
Ste 450
Roswell, GA 30076
Mailing address
2500 Hospital Blvd
Ste 450
Roswell, GA 30076
Phone (770) 343-8675
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD003869 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| North Fulton Ear Nose and Throat Associates, P.C. | Current | Accepting new patients |
Locations
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
2500 Hospital Blvd
Ste 450
Roswell, GA 30076
Phone (770) 343-8675
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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
- Roswell, GA
- NPI 1679510044
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1770744005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 HOSPITAL BLVD",
"address_2": "STE 450",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30076",
"telephone_number": "770-343-8675",
"fax_number": "770-343-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HOSPITAL BLVD",
"address_2": "STE 450",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30076",
"telephone_number": "770-343-8675",
"fax_number": "770-343-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDBETTER",
"first_name": "AMY",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.