JKP BALANCE & HEARING CENTER, LLC (NPI# 1861662892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861662892 |
| Entity Type | Organization |
| Organization Name | JKP BALANCE & HEARING CENTER, LLC |
| Practice Address |
465 Winn Way Suite 231 Decatur GA 30030-1753 |
| Mailing Address |
1270 Caroline St Ne Suite D120-355 Atlanta GA 30307-2758 |
| Practice Telephone | 4044846305 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | DR. TYSHA MOANA POWELL (AUDIOLOGIST) |
| Authorized Official Telephone | 4044846305 |
| Authorized Official Credential | AU.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AUD003621 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
465 WINN WAY SUITE 231 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093707325 | Gayle Leff Goldstein | Ophthalmology | 465 Winn Way, Ste 140, Decatur, GA 30030-1753 | 2005-08-23 |
| 1184230237 | Miracle Penny | Behavior Technician | 465 Winn Way, Decatur, GA 30030-1753 | 2020-09-23 |
| 1447874862 | Nicholas Okeith Rocker | Behavior Technician | 465 Winn Way, Decatur, GA 30030-1753 | 2020-06-01 |
| 1811349640 | Advanced Counseling Services | Counselor | 465 Winn Way, Suite 150, Decatur, GA 30030-1753 | 2016-07-05 |
| 1003296062 | Shaina Gordon | Counselor | 465 Winn Way, 221, Decatur, GA 30030-1753 | 2015-06-04 |
| 1386929073 | Robin May | Counselor | 465 Winn Way, Suite 221, Decatur, GA 30030-1753 | 2011-10-13 |
| 1013200070 | Anna Christina Davis | Counselor | 465 Winn Way, Suite 221, Decatur, GA 30030-1753 | 2011-05-24 |
| 1497052963 | South Central Community and Social Services LLC | Community/Behavioral Health | 465 Winn Way, Suite 150, Decatur, GA 30030-1753 | 2011-02-18 |
| 1164751012 | Michael B Stubbs Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 465 Winn Way, Suite 211, Decatur, GA 30030-1753 | 2009-12-23 |
| 1083858716 | Susan Laney Castle | Nurse Practitioner | 465 Winn Way, Suite 215, Decatur, GA 30030-1753 | 2009-04-24 |
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| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432242 | Leah Kristen Horn | Audiologist | 1670 Clairmont Rd # 126, Decatur, GA 30033-4004 | 2019-08-12 |
| 1063894947 | Hometown Hearing & Audiology, Inc. | Audiologist | 2888 N Monroe St, 195, Decatur, IL 62526-3269 | 2015-06-26 |
| 1518219880 | Connect Hearing, Inc. | Audiologist | 160 Clairemont Ave Ste 120, Decatur, GA 30030-2562 | 2012-10-10 |
| 1417234808 | Liz Minnette Ramos | Audiologist | 484 Irvin Ct Ste 140, Decatur, GA 30030-5406 | 2011-11-14 |
| 1023274685 | Deborah Sharon Golden | Audiologist | 2726 Lawrenceville Highway, Decatur, GA 30033 | 2008-08-04 |
| 1245252337 | Tiffany Shea Haney | Audiologist | 1670 Clairmont Road (atlanta), Audiology and Speech Pathology Department, Decatur, GA 30033 | 2006-07-24 |
| 1063027142 | Emily Kate Feibelman | Audiologist | 1670 Clairmont Road, Audiology Clinic (126), Decatur, GA 30033 | 2020-09-15 |
| 1851868905 | Michelle Lewis | Audiologist | 1 Educational Park, Decatur, IL 62526 | 2018-10-26 |
| 1982123774 | Loretta Louise Hedges | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-13 |
| 1831617224 | Hannah Suzanne Gray | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-06 |
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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.