Individual provider Active NPI

Katrina Farrow

  • Audiologist
  • Atlanta, GA
National Provider Identifier
1780841726
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3067 Issued in GA
Practice address
5670 Peachtree Dunwoody Rd Ste 1280
Atlanta, GA 30342-4792
Phone
(404) 257-1589
Fax
(404) 303-1950
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3067 GA Primary

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd Ste 1280
Atlanta, GA 30342-4792

Mailing address

5670 Peachtree Dunwoody Rd Ste 1280
Atlanta, GA 30342-4792
Phone (404) 257-1589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140709001451 GA Practitioner - Qualified Audiologist 2860617750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

5730 Glenridge Dr
Suite T200
Sandy Springs, GA 30328-5873
Phone (404) 257-1589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3067GAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Jun 20, 2017 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste C465
Alpharetta, GA 30005
Phone (678) 888-4460

2365 Old Milton Pkwy
Ste 300
Alpharetta, GA 30009
Phone 7705161775201

5670 Peachtree Dunwoody Rd
Ste 1280
Sandy Springs, GA 30342
Phone (404) 257-1589

5730 Glenridge Dr
Ste T200
Sandy Springs, GA 30328
Phone (404) 256-5428

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1780841726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424792",
            "telephone_number": "404-257-1589",
            "fax_number": "404-303-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424792",
            "telephone_number": "404-257-1589",
            "fax_number": "404-303-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROW",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "3067",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 19, 2018; 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.