Individual provider Active NPI

Mackenzie Louise Morris, AUD

  • Audiologist
  • Woodstock, GA
National Provider Identifier
1942072608
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
700 Hearthstone Xing
Woodstock, GA 30189-5293
Phone
(650) 919-3384
NPI assigned
Oct 26, 2023
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

700 Hearthstone Xing
Woodstock, GA 30189-5293

Mailing address

700 Hearthstone Xing
Woodstock, GA 30189-5293
Phone (650) 919-3384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231103002132 GA Practitioner - Qualified Audiologist 9739536384 Reassigns benefits to 1 organization
I20240119002912 TN Practitioner - Qualified Audiologist 9739536384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Hearing of TennesseeGroup PAC ID 3072818517, 7 clinicians
Stinson Mobile Aud Ga LLCGroup PAC ID 6608110390, 8 clinicians

Practice addresses (Care Compare)

10055 Rhea County Hwy
Dayton, TN 37321-7937
Phone (248) 528-2116

40 Technology Pkwy S
Suite 300
Norcross, GA 30092-2924
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stinson Mobile Aud Ga LLC Audiologist CurrentSince Oct 16, 2023 Accepting new patients
Mobile Hearing of Tennessee Audiologist CurrentSince Dec 13, 2023 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

10055 Rhea County Hwy
Dayton, TN 37321
Phone (423) 847-6777

Organizations & group practices 2

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": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1942072608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HEARTHSTONE XING",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895293",
            "telephone_number": "650-919-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HEARTHSTONE XING",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895293",
            "telephone_number": "650-919-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MACKENZIE",
        "middle_name": "LOUISE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.

Verify at the official NPI Registry.