Organization Active NPI

Audiology Consulting & Hearing Services

  • Hearing and Speech Clinic/Center
  • Athens, GA
National Provider Identifier
1831220532
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
AUD001447 Issued in GA
Legal business name
AUDIOLOGY CONSULTING & HEARING SERVICES
Practice address
1061 Dowdy Rd
Suite 204
Athens, GA 30606
Phone
(706) 549-3111
Fax
(706) 549-0488
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Georgeanne Thomas, AUD
Title
Owner/Audiologist
Phone
(706) 549-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X AUD001447 GA Primary

Addresses

Primary practice location

1061 Dowdy Rd
Suite 204
Athens, GA 30606

Mailing address

1041 Rosewood TRL
Watkinsville, GA 30677-1582
Phone (706) 549-3111

Other identifiers 6

IdentifierTypeStateIssuer
398677518CMedicaidGA
398677518EMedicaidGA
398677518DMedicaidGA
398677518BMedicaidGA
398677518FMedicaidGA
398677518AMedicaidGA

Other names 1

  • Athens Hearing Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006000738 GA Part B Supplier - Clinic/Group Practice 8123087079 Receives reassigned benefits from 2 practitioners
Practice locations: Lavonia, GA; Loganville, GA; Watkinsville, GA

National Provider Directory

National Provider Directory

Locations

1077 Baxter St
Ste I
Athens, GA 30606
Phone (706) 549-3111

1020 Founders Row
Ste 104
Greensboro, GA 30642
Phone (706) 454-0578

182 Cade St
Hartwell, GA 30643
Phone (706) 376-0444

12877 Jones St
Lavonia, GA 30553
Phone (706) 356-0575

123 Lee Byrd Rd
Loganville, GA 30052
Phone (678) 580-3313

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1831220532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 ROSEWOOD TRL",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771582",
            "telephone_number": "706-549-3111",
            "fax_number": "706-549-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 DOWDY RD",
            "address_2": "SUITE 204",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-549-3111",
            "fax_number": "706-549-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY CONSULTING & HEARING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GEORGEANNE",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "706-549-3111",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "GA",
            "license": "AUD001447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398677518C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398677518E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398677518D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398677518B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398677518F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398677518A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.