STACY LEIGH PICKELMAN (NPI# 1558660381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558660381 |
| Entity Type | Individual |
| Full Name | STACY LEIGH PICKELMAN |
| Credential | AU.D. |
| Practice Address |
960 Johnson Ferry Rd Ste 200 Atlanta GA 30342-1601 |
| Practice Telephone | 4049430900 |
| Practice Fax Number | 4049431390 |
| Mailing Telephone | 4049430900 |
| Mailing Fax Number | 4049431390 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | AUD003898 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
960 JOHNSON FERRY RD STE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912988445 | Paul Dennison Boyce | Specialist | 960 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1631 | 2005-11-10 |
| 1134661713 | Stephanie Anne Vickers | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-11-14 |
| 1104368117 | Mindy Amber Garcia | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-11-08 |
| 1336502624 | Marita King | Physician Assistant | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-04-04 |
| 1487035507 | Mary Rachel Cramer | Physician Assistant | 960 Johnson Ferry Rd, Suite 130, Atlanta, GA 30342-1631 | 2015-06-15 |
| 1871984971 | Julie Allers | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2015-02-10 |
| 1346630613 | Johnathon Steven Nolen | Physician Assistant | 960 Johnson Ferry Rd, Suite 100, Atlanta, GA 30342-1631 | 2015-01-26 |
| 1770903486 | Richard Frady | Nurse Practitioner | 960 Johnson Ferry Rd, Ste. 500, Atlanta, GA 30342-1631 | 2014-04-21 |
| 1588093157 | Kelly Graham | Physician Assistant | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2013-11-05 |
| 1760810857 | Michael Grossman | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2013-10-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902166895 | Jeanine Angela Jackson | Audiologist-Hearing Aid Fitter | 3239 Telford Ter Sw, Atlanta, GA 30331-5447 | 2012-05-24 |
| 1386874345 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 1500 Cumberland Mall Se, Atlanta, GA 30339-3141 | 2009-07-23 |
| 1275594418 | Maria Szczepanski Wynens | Audiologist-Hearing Aid Fitter | 5885 Glenridge Drive, Suite 155, Atlanta, GA 30328-5512 | 2006-03-29 |
| 1366820276 | Advanced Hearing, LLC | Audiologist-Hearing Aid Fitter | 5673 Peachtree Dunwoody Rd, Suite 150, Atlanta, GA 30342-1731 | 2015-05-12 |
| 1205256914 | Northland Hearing Centers, Inc | Audiologist-Hearing Aid Fitter | 4360 Chamblee Dunwoody Rd, Suite 180, Atlanta, GA 30341-1049 | 2014-04-21 |
| 1801192141 | John C Schellman | Audiologist-Hearing Aid Fitter | 4360 Chamblee Dunwoody Rd, Suite #180, Atlanta, GA 30341-1049 | 2011-02-03 |
| 1710117775 | Ready and Fordward Ent LLC | Audiologist-Hearing Aid Fitter | 2090 Dunwoody Club Dr, Ste. 106-246, Atlanta, GA 30350-5434 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1235610932 | Bree Ellesse Blackwell | Audiologist-Hearing Aid Fitter | 527 Stephenson Ave Unit A-3, Savannah, GA 31405-5923 | 2018-08-22 |
| 1356836878 | Hcenti, LLC | Audiologist-Hearing Aid Fitter | 2365 Old Milton Parkway, Alpharetta, GA 30009 | 2018-06-27 |
| 1952768624 | Richard Falconbury | Audiologist-Hearing Aid Fitter | 967 Battlefield Pkwy, Ft Oglethorpe, GA 30742 | 2016-01-26 |
| 1841602372 | Kerri Jo Hudson | Audiologist-Hearing Aid Fitter | 410 Sw Us Highway 80, Pooler, GA 31322-2541 | 2014-06-02 |
| 1356673891 | Laurie Mcdaniel Scarrow | Audiologist-Hearing Aid Fitter | 27 8th Seave, Moultrie, GA 31768-5500 | 2010-02-09 |
| 1043440183 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 8020 Mall Pkwy, Lithonia, GA 30038-2542 | 2009-07-23 |
| 1841420809 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 1300 Southlake Mall, Morrow, GA 30260-2326 | 2009-07-23 |
| 1942430087 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 6000 Northpoint Cir, Alpharetta, GA 30022-4862 | 2009-07-23 |
| 1821228974 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 3701 Atlanta Hwy Ste 1, Bogart, GA 30622-2218 | 2009-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.