| Board Of Regents Of The University System Of Georgia | |
|
110 Carlton St. 593 Aderhold Hall, Athens, GA 30602-5004 | |
| (706) 542-4598 | |
| (706) 542-4574 |
| Full Name | Board Of Regents Of The University System Of Georgia |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 110 Carlton St. 593 Aderhold Hall, Athens, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376640557 | NPI | - | NPPES |
| 000395403A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Angela B Ellerman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730168485 PECOS PAC ID: 9931183704 Enrollment ID: I20040617001057 |
| Provider Name | Jennifer B Wares |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346229622 PECOS PAC ID: 9830153295 Enrollment ID: I20041116000137 |
| Provider Name | Fred Reifsteck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801074604 PECOS PAC ID: 9931158318 Enrollment ID: I20050113000207 |
| Provider Name | Gary B Atkinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164614996 PECOS PAC ID: 8022195312 Enrollment ID: I20080410000743 |
| Provider Name | Sarah E Smith-thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598943243 PECOS PAC ID: 6800840091 Enrollment ID: I20090624000328 |
| Provider Name | Alisa N Schultz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508059452 PECOS PAC ID: 6103963574 Enrollment ID: I20091019000079 |
| Provider Name | Nancy B Dellaria |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285735316 PECOS PAC ID: 1557408705 Enrollment ID: I20091021000423 |
| Provider Name | Chadwick M Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992916753 PECOS PAC ID: 7810031838 Enrollment ID: I20100215000338 |
| Provider Name | Cary C Perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639168644 PECOS PAC ID: 3375668155 Enrollment ID: I20100916000906 |
| Provider Name | Kerry A Cohen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144325424 PECOS PAC ID: 3072515857 Enrollment ID: I20120831000631 |
| Provider Name | Dawn Healy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447485735 PECOS PAC ID: 5092996157 Enrollment ID: I20140417001284 |
| Provider Name | Stephen A Fleming |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265639835 PECOS PAC ID: 1759515950 Enrollment ID: I20140502001746 |
| Provider Name | Lara Ansley Crisler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215219761 PECOS PAC ID: 0143516674 Enrollment ID: I20160909001718 |
| Provider Name | Laura Nichols |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457402836 PECOS PAC ID: 5890082358 Enrollment ID: I20160927001362 |
| Provider Name | Satya S Thippareddi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174537567 PECOS PAC ID: 0941206452 Enrollment ID: I20170802001363 |
| Provider Name | Nina Monique Santus |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184946345 PECOS PAC ID: 6204165657 Enrollment ID: I20190910001686 |
| Provider Name | Terry J Ragan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245396043 PECOS PAC ID: 6103238290 Enrollment ID: I20201214002921 |
| Provider Name | Finbar Woitalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154339471 PECOS PAC ID: 0840343174 Enrollment ID: I20210311002113 |
| Provider Name | Somang Moon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184011678 PECOS PAC ID: 9335471275 Enrollment ID: I20210825003773 |
| Provider Name | Nicole Anne Hines |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831214261 PECOS PAC ID: 3375939291 Enrollment ID: I20220401000821 |
| Provider Name | Elizabeth Stewart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548870116 PECOS PAC ID: 0648657692 Enrollment ID: I20220513001386 |
| Provider Name | Ainsley Vergara |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043733280 PECOS PAC ID: 0547590754 Enrollment ID: I20220818001440 |
| Provider Name | Clara L Herrin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346428356 PECOS PAC ID: 3577949296 Enrollment ID: I20221004002468 |
| Provider Name | Thomas A Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275540353 PECOS PAC ID: 0840275962 Enrollment ID: I20221028000700 |
| Mailing Address | Practice Location Address |
|---|---|
| Board Of Regents Of The University System Of Georgia 110 Carlton St, Athens, GA 30602-5004 Ph: (706) 542-4598 | Board Of Regents Of The University System Of Georgia 110 Carlton St. 593 Aderhold Hall, Athens, GA 30602-5004 Ph: (706) 542-4598 |
Harlee Daniel, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 150 Nacoochee Ave, Athens, GA 30601 Phone: 706-546-7908 Fax: 706-546-1944 | |
Somang Moon, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 110 Carlton Street, 593 Aderhold Hall, Athens, GA 30602 Phone: 706-542-4598 Fax: 706-249-4249 | |
Georgia Hearing Center Audiologist Medicare: Medicare Enrolled Practice Location: 150 Nacoochee Ave, Athens, GA 30601 Phone: 706-546-5689 Fax: 706-543-7675 | |
Mrs. Allison Lenear, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 150 Nacoochee Ave, Athens, GA 30601 Phone: 706-546-7908 Fax: 706-546-1944 | |
Madison Ansbach, Audiologist Medicare: Medicare Enrolled Practice Location: 150 Nacoochee Ave, Athens, GA 30601 Phone: 706-546-7908 | |
Erin Steele, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 150 Nacoochee Ave, Athens, GA 30601 Phone: 706-546-7908 Fax: 706-546-1944 | |
Katherine A Myers, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 150 Nacoochee Ave, Athens, GA 30601 Phone: 706-546-7908 |