Individual provider Active NPI

Anna K Boyce, AUD

  • Audiologist
  • Roswell, GA
National Provider Identifier
1922580695
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004433 Issued in GA
Practice address
12020 Etris Rd Ste B140
Roswell, GA 30075-8013
Phone
(770) 691-9000
Fax
(404) 777-0938
NPI assigned
Aug 30, 2018
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001675 IL
Audiologist 231H00000X AUD004433 GA Primary

Addresses

Primary practice location

12020 Etris Rd Ste B140
Roswell, GA 30075-8013

Mailing address

12020 Etris Rd Ste B140
Roswell, GA 30075-8013
Phone (770) 691-9000

Other practice location 1

200 E Pennsylvania Ave
Peoria, IL 61603-3089
Phone (309) 624-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131001073 GA Practitioner - Qualified Audiologist 0446504336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147001675ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Surgical Professional Services, LLC CurrentSince Feb 3, 2025 Accepting new patients

Locations

748 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (404) 297-4230

12020 Etris Rd
Ste B140
Roswell, GA 30075
Phone (770) 591-9000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1922580695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 ETRIS RD STE B140",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300758013",
            "telephone_number": "770-691-9000",
            "fax_number": "404-777-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 ETRIS RD STE B140",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300758013",
            "telephone_number": "770-691-9000",
            "fax_number": "404-777-0938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033089",
            "country_code": "US",
            "telephone_number": "309-624-4000",
            "fax_number": "309-624-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "ANNA",
        "middle_name": "K",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001675",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.