Sara Elizabeth Wilson, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD004152 Issued in GA

Practice address

699 Church St NE Ste 340
Marietta, GA 30060-1131

Phone

(678) 355-1620

Fax

(770) 420-3422

NPI assigned

Dec 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1780156133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE STE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE STE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601131",
            "telephone_number": "678-355-1620",
            "fax_number": "770-420-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Wellstar Way Ste 203",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "GA",
            "postal_code": "301149086",
            "country_code": "US",
            "telephone_number": "470-267-0160",
            "fax_number": "770-999-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Stahl Wilson, CAA
• Natalee Wilson, MD
• Patrick Wilson, LPC
• Peter J Wilson, D.C.
• Ronald E. Wilson, D.D.S.
• Skyler Wilson, RBT
• Stephen B Wilson, DMD
• Trina Renee' Wilson, PHD, M.DIV, LCSW
• Jennifer Ann Davis Wimer
• Kevin W Windom, M.D.

• Audiologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.