Audrey Lynn Bibb, M.S,

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

2165 N Decatur Rd
Decatur, GA 30033-5307

Phone

(404) 778-8597

Fax

(404) 778-8562

NPI assigned

Dec 20, 2013

Last updated

Dec 20, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Audrey Roseann Lynn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1952722753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335307",
            "telephone_number": "404-778-8597",
            "fax_number": "404-778-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335307",
            "telephone_number": "404-778-8597",
            "fax_number": "404-778-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBB",
        "first_name": "AUDREY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "LYNN",
            "middle_name": "ROSEANN",
            "prefix": "MS.",
            "credential": "M.S,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Genetic Counselor (M.S.) in Decatur, GA
• Providers in Decatur, GA by specialty
• Genetic Counselor (M.S.) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.