Individual provider Active NPI

Deanna S McGugin, AU.D

  • Audiologist
  • Cocoa Beach, FL
National Provider Identifier
1780805457
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY809 Issued in FL
Practice address
333 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3513
Phone
(321) 799-9797
Fax
(321) 799-3393
NPI assigned
May 1, 2007
Last updated
May 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY809 FL Primary

Addresses

Primary practice location

333 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3513

Mailing address

333 W. Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-9797

Other names 1

  • Deedra McGugin Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090810000153 FL Practitioner - Qualified Audiologist 2264585231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic ENT LLCGroup PAC ID 8022172162, 3 clinicians

Practice addresses (Care Compare)

333 W Cocoa Beach Cswy
Suite B
Cocoa Beach, FL 32931-3513
Phone (321) 799-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic ENT LLC CurrentSince Jan 1, 2009 Accepting new patients

Locations

333 W Cocoa Beach Cswy
Ste B
Cocoa Beach, FL 32931

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, 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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1780805457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W. COCOA BEACH CSWY",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "32931",
            "telephone_number": "321-799-9797",
            "fax_number": "321-799-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W COCOA BEACH CSWY",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313513",
            "telephone_number": "321-799-9797",
            "fax_number": "321-799-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUGIN",
        "first_name": "DEANNA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEDRA",
            "last_name": "MCGUGIN",
            "credential": "AU.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.