DR. THERESA EVELYN MAMAH (NPI# 1215288923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215288923 |
| Entity Type | Individual |
| Full Name | DR. THERESA EVELYN MAMAH |
| Credential | AUD |
| Practice Address |
5673 Peachtree Dunwoody Rd Ne Suite 150 Atlanta GA 30342-1731 |
| Mailing Address |
4380 Georgetown Sq Suite 1002 Atlanta GA 30338-6254 |
| Practice Telephone | 4042974230 |
| Practice Fax Number | 4042527255 |
| Mailing Telephone | 7702208400 |
| Mailing Fax Number | 7702349979 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AUD003910 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
5673 PEACHTREE DUNWOODY RD NE SUITE 150 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433387 | Diane Nykamp Mccorter | Pharmacist | 5673 Peachtree Dunwoody Rd Ne, Suite 490, Atlanta, GA 30342-1731 | 2005-08-10 |
| 1194160598 | Saint Josephs Medical Group | General Acute Care Hospital | 5673 Peachtree Dunwoody Rd Ne, Suite 675, Atlanta, GA 30342-1731 | 2013-04-30 |
| 1225370406 | Jenny Lynn Usherwood | Physician Assistant | 5673 Peachtree Dunwoody Rd Ne, Suite 330, Atlanta, GA 30342-1731 | 2013-03-26 |
| 1841565355 | Peachtree Nephrology PC | Internal Medicine | 5673 Peachtree Dunwoody Rd Ne, Suite 600, Atlanta, GA 30342-1731 | 2012-03-16 |
| 1629343397 | Jennifer S Lin | Specialist/Technologist, Other | 5673 Peachtree Dunwoody Rd Ne, Suite 750, Atlanta, GA 30342-1731 | 2012-03-14 |
| 1386930964 | Erica Petrosky Delaney | Physician Assistant | 5673 Peachtree Dunwoody Rd Ne, Suite 825, Atlanta, GA 30342-1731 | 2011-06-22 |
| 1568767721 | Barbra Seidman Rosing | Physician Assistant | 5673 Peachtree Dunwoody Rd Ne, Suite 850, Atlanta, GA 30342-1731 | 2011-01-20 |
| 1588894430 | Anisa T Daftari | Physician Assistant | 5673 Peachtree Dunwoody Rd Ne, Ste150, Atlanta, GA 30342-1731 | 2009-07-24 |
| 1114162369 | Vainer & Vainer Nephrology | Specialist | 5673 Peachtree Dunwoody Rd Ne, Suite 420, Atlanta, GA 30342-1731 | 2008-12-02 |
| 1548411184 | Eugene D Davidson | Surgery | 5673 Peachtree Dunwoody Rd Ne, Suite 300, Atlanta, GA 30342-1731 | 2008-10-01 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1518591536 | Carlotta A Cuthbertson | Audiologist | 2781 Joel Pl, Atlanta, GA 30360-1415 | 2020-02-28 |
| 1306489851 | Alexis Brooke Goldberg | Audiologist | 960 Johnson Fy Rd Ne Ste 144, Atlanta, GA 30342-1601 | 2019-10-28 |
| 1194378109 | Katie Miller | Audiologist | 3225 Cumberland Blvd Se Ste 175, Atlanta, GA 30339-6407 | 2019-07-18 |
| 1750864070 | Jill Lowther | Audiologist | 2140 Peachtree Rd Nw Ste 350, Atlanta, GA 30309-1317 | 2018-09-12 |
| 1578054839 | Kara Marie Kassoff | Audiologist | 1800 Peachtree St Nw Ste 700, Atlanta, GA 30309-2511 | 2018-05-22 |
| 1760991160 | Haliee Patel | Audiologist | 415 Morgan Falls Rd Apt 6111, Atlanta, GA 30350-5869 | 2017-09-28 |
| 1174053219 | Brittney Tardy | Audiologist | 3330 Piedmont Rd Ne Ste 1, Atlanta, GA 30305-1726 | 2017-06-12 |
| 1679974463 | Samantha Brittany Smith | Audiologist | 5673 Peachtree Dunwoody Rd Ste 150, Atlanta, GA 30342-1771 | 2014-09-11 |
| 1972941581 | Brittany Whitlock Hightower | Audiologist | 2061 Peachtree Rd Ne Ste 300a, Atlanta, GA 30309-1447 | 2013-06-06 |
| 1720321631 | Lynne Dunnington Peavey | Audiologist | 5455 Meridian Mark Rd Suite 130, Pediatric Ear Nose & Throat of Atlanta PC, Atlanta, GA 30342-4277 | 2013-03-28 |
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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.