Individual provider Active NPI

Kathryn Anne Jenkins Ferreira, CCC-A, AUD

  • Audiologist
  • Alpharetta, GA
National Provider Identifier
1780579235
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004459 Issued in GA
Practice address
3180 North Point Pkwy
BLDG 500, Suite 512
Alpharetta, GA 30005-4569
Phone
(770) 292-3045
Fax
(770) 292-3046
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004459 GA Primary

Addresses

Primary practice location

3180 North Point Pkwy
BLDG 500, Suite 512
Alpharetta, GA 30005-4569

Mailing address

13280 Warrensville CV
Alpharetta, GA 30004-7634
Phone (404) 416-0799

Other names 1

  • Kathryn Anne Jenkins Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702001733 GA Practitioner - Qualified Audiologist 8123531134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Ear Nose and Throat PCGroup PAC ID 9830403229, 15 clinicians

Practice addresses (Care Compare)

3180 N Point Pkwy
BLDG 500 Suite 512
Alpharetta, GA 30005-4569
Phone (770) 292-3045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Ear Nose & Throat PC CurrentSince Jun 12, 2025 Accepting new patients
Northside Surgical Professional Services LLC PastSince Jun 12, 2025 Accepting new patients

Locations

3180 North Point Pkwy
Ste 512
Alpharetta, GA 30005
Phone (678) 679-5070

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1780579235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 WARRENSVILLE CV",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047634",
            "telephone_number": "404-416-0799",
            "fax_number": "770-292-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 NORTH POINT PKWY",
            "address_2": "BLDG 500, SUITE 512",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054569",
            "telephone_number": "770-292-3045",
            "fax_number": "770-292-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "KATHRYN",
        "middle_name": "ANNE JENKINS",
        "credential": "CCC-A, AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "JENKINS",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.