PROGRESSIVE AUDIOLOGY CENTER, INC. (NPI# 1285740886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285740886 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE AUDIOLOGY CENTER, INC. |
| Practice Address |
2230 Towne Lake Pkwy Building 800 Suite 120 Woodstock GA 30189-5540 |
| Mailing Address |
2230 Towne Lake Parkway Bldg 800, Suite 100 Woodstock GA 30189 |
| Practice Telephone | 7705924744 |
| Mailing Telephone | 7705924744 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | DR. JAN HENRIQUES (PRESIDENT) |
| Authorized Official Telephone | 7705924744 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| Y | 237600000X | Audiologist-Hearing Aid Fitter | AUD001690 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
2230 TOWNE LAKE PKWY BUILDING 800 SUITE 120 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033108121 | Romualda S Klicius | Pediatrics | 2230 Towne Lake Pkwy, Building 300, Suite 100, Woodstock, GA 30189-5540 | 2005-10-20 |
| 1316574551 | Jane Schutter | Behavioral Analyst | 2230 Towne Lake Pkwy, Woodstock, GA 30189-5540 | 2020-03-26 |
| 1225569437 | New Ways Pain Management | Radiology | 2230 Towne Lake Pkwy, Bldg, No. 900, Suite 250 & 150, Woodstock, GA 30189-5540 | 2017-03-21 |
| 1487047791 | Tl Dental Group, LLC | Dentist | 2230 Towne Lake Pkwy, Bldg. 100, Suite 100, Woodstock, GA 30189-5540 | 2015-03-11 |
| 1952712390 | Connect Hearing, Inc. | Audiologist | 2230 Towne Lake Pkwy, Building 800 Ste 100, Woodstock, GA 30189-5540 | 2014-05-19 |
| 1851656151 | Caroline Michelle Malloy | Physical Therapist | 2230 Towne Lake Pkwy, Bldg 1200-100, Woodstock, GA 30189-5540 | 2012-07-12 |
| 1649531344 | Donaco Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2230 Towne Lake Pkwy, Bldg 200 Ste 100, Woodstock, GA 30189-5540 | 2012-05-30 |
| 1295015709 | Kunjan Patel | Dentist | 2230 Towne Lake Pkwy, Bldg 1300 Suite 100, Woodstock, GA 30189-5540 | 2011-08-29 |
| 1326340407 | John Iaculli | Dentist | 2230 Towne Lake Pkwy, Building 1100, Ste 100, Woodstock, GA 30189-5540 | 2010-11-23 |
| 1326349945 | Family Orthodontics of Ws, LLC | Dentist | 2230 Towne Lake Pkwy, Building 1100, Ste 100, Woodstock, GA 30189-5540 | 2010-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| 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 |
|---|---|---|---|---|
| 1891937223 | Mary Sue D. Heinzelmann | Audiologist-Hearing Aid Fitter | 1200 Claussen Dr, Woodstock, IL 60098-2139 | 2009-03-31 |
| 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 |
| 1902166895 | Jeanine Angela Jackson | Audiologist-Hearing Aid Fitter | 3239 Telford Ter Sw, Atlanta, GA 30331-5447 | 2012-05-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.