Deborah J Albaugh, M.A. CCC-A
Individual provider Active NPI Audiologist · Seneca, SC
NPI 1811053382 · NPPES record last updated Dec 13, 2021
Key facts
- NPI
- 1811053382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 4206 (SC)
- Practice address
- 1598 Sandifer Blvd Ste D
Seneca, SC 29678-0929 - Phone
- (864) 882-7968
- Fax
- (864) 882-7970
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 360Care LLC
Practice addresses (Care Compare)
1703 Laurel St
Columbia, SC 29201-2660
Phone 50224424205441
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101206000655 | WV | Practitioner - Qualified Audiologist | 4981891769 | |
| I20221111000616 | SC | Practitioner - Qualified Audiologist | 4981891769 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4206 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360Care LLC | Audiologist | Current | Accepting new patients |
| 360Care LLC | Audiologist | Current |
Accepting new patients |
| Hearbest | Audiologist | Past |
Accepting new patients |
| Hearusa Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483
1703 Laurel St
Columbia, SC 29201
Phone 24852821166
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT000472L | PA | |
| Audiologist | 231H00000X | 4206 | SC | Yes |
Addresses
Primary practice location
1598 Sandifer Blvd Ste D
Seneca, SC 29678-0929
Mailing address
1598 Sandifer Blvd Ste D
Seneca, SC 29678-0929
Phone (864) 882-7968
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.