Individual provider Active NPI

Katie M Saleeby, AU.D.

  • Audiologist
  • Suwanee, GA
National Provider Identifier
1962660050
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003635 Issued in GA
Practice address
4385 Johns Creek Pkwy
Suite 250
Suwanee, GA 30024-6093
Phone
(770) 623-1608
Fax
(678) 992-2540
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003635 GA Primary

Addresses

Primary practice location

4385 Johns Creek Pkwy
Suite 250
Suwanee, GA 30024-6093

Mailing address

4385 Johns Creek Pkwy
Suite 250
Suwanee, GA 30024-6093
Phone (770) 623-1608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000654 GA Practitioner - Qualified Audiologist 0345317459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Arizona College of Osteopathic Medicine Mid Western University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Atlanta Ear Nose and Throat, P.C.Group PAC ID 7012979636, 15 clinicians

Practice addresses (Care Compare)

3915 Johns Creek CT
Suite 100
Suwanee, GA 30024-6674
Phone (770) 623-1608

766 Walther Rd
Suite 300
Lawrenceville, GA 30046-8765
Phone (770) 237-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AUD003635GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Atlanta Ear Nose & Throat, PC CurrentSince Jul 1, 2008 Accepting new patients
Northlake Anesthesia Professionals, LLC PastSince Sep 1, 2020 Accepting new patients

Locations

766 Walther Rd
Ste 300
Lawrenceville, GA 30046
Phone (770) 237-3000

4385 Johns Creek Pkwy
Ste 250
Suwanee, GA 30024
Phone (770) 237-3000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1962660050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 JOHNS CREEK PKWY",
            "address_2": "SUITE 250",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246093",
            "telephone_number": "770-623-1608",
            "fax_number": "678-992-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 JOHNS CREEK PKWY",
            "address_2": "SUITE 250",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246093",
            "telephone_number": "770-623-1608",
            "fax_number": "678-992-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEEBY",
        "first_name": "KATIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.