Active NPI
Anesheia Ceasar Prince, AU.D
- Audiologist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003899
- Practice address
- 5555 Peachtree Dunwoody Rd NE
Ste 125
Atlanta, GA 30342-1710 - Phone
- (404) 255-2918
- Fax
- (404) 255-5837
- NPI assigned
- Jun 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | AUD003899 | GA | Primary |
Addresses
Primary practice location
5555 Peachtree Dunwoody Rd NE
Ste 125
Atlanta, GA 30342-1710
Mailing address
5555 Peachtree Dunwoody Rd NE
Ste 125
Atlanta, GA 30342-1710
Phone (404) 255-2918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003124990 | 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, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 Fieldstone Dr
Suite 106
Milledgeville, GA 31061-7108
Phone (478) 452-0578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Audiology Associates, LLC | Audiologist | Current | Accepting new patients |
| ENT of Georgia, LLC | Current | Accepting new patients | |
| Hearing Associates, PC | Audiologist | Past | Accepting new patients |
| Atlanta ENT Sinus & Allergy Associates PC | Past | Accepting new patients |
Locations
1991 N Williamsburg Dr
Ste A100
Decatur, GA 30033
1713 Mount Vernon Rd
Ste 4
Dunwoody, GA 30338
Phone (770) 394-9499
111 Fieldstone Dr
Ste 106
Milledgeville, GA 31061
Phone (478) 452-0578
5673 Peachtree Dunwoody Rd
Ste 150
Sandy Springs, GA 30342
Phone (404) 297-4230
830 Eagles Landing Pkwy
Ste 102
Stockbridge, GA 30281
Phone (678) 534-5922
Organizations & group practices 4
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.
-
dba Atlanta Hearing Associates
- Audiologist
- Dunwoody, GA
- NPI 1245994904
-
- Otolaryngology Physician
- Atlanta, GA
- NPI 1922046424
-
- Specialist
- Atlanta, GA
- NPI 1285619544
-
- Audiologist
- Milledgeville, GA
- NPI 1730372327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1922369339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 PEACHTREE DUNWOODY RD NE",
"address_2": "STE 125",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421710",
"telephone_number": "404-255-2918",
"fax_number": "404-255-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 PEACHTREE DUNWOODY RD NE",
"address_2": "STE 125",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421710",
"telephone_number": "404-255-2918",
"fax_number": "404-255-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "ANESHEIA",
"middle_name": "CEASAR",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-01",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003124990",
"state": "GA"
}
],
"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 Jan 13, 2017; 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.