=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750294989
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NGO AUDIOLOGY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2026
-----------------------------------------------------
Last Update Date | 09/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 NORTHRIDGE RD STE 400
-----------------------------------------------------
City | SANDY SPRINGS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30350-3314
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-341-0282
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 500 NORTHRIDGE RD STE 400
-----------------------------------------------------
City | SANDY SPRINGS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30350-3314
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-341-0282
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CREDENTIALING MANAGER
-----------------------------------------------------
Name | KIMBERLY PERRY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 470-508-5343
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------