Active NPI
Laurie Ellen Nelson, M.S.
- Audiologist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1814
- Practice address
- 707 Whitlock Ave SW Ste A36
Marietta, GA 30064-4654 - Phone
- (770) 427-3033
- Fax
- (770) 427-3035
- NPI assigned
- Sep 16, 2006
- Last updated
- Feb 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1814 | GA | Primary |
Addresses
Primary practice location
707 Whitlock Ave SW Ste A36
Marietta, GA 30064-4654
Mailing address
707 Whitlock Ave SW Ste A36
Marietta, GA 30064-4654
Phone (770) 427-3033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000817847E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
707 Whitlock Ave
Suite a 36
Marietta, GA 30064-3000
Phone (770) 427-3033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1814 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurie Nelson, Inc. | Audiologist | Current | Accepting new patients |
Locations
707 Whitlock Ave SW
Ste A36
Marietta, GA 30064
Phone (770) 427-3033
990 Whitlock Ave NW
Ste D
Marietta, GA 30064
Phone (770) 427-3033
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": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1811093784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 WHITLOCK AVE SW STE A36",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300644654",
"telephone_number": "770-427-3033",
"fax_number": "770-427-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 WHITLOCK AVE SW STE A36",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300644654",
"telephone_number": "770-427-3033",
"fax_number": "770-427-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LAURIE",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "1814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000817847E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.