DR. JESSICA GOODWIN ALLEN (AU.D.) – Audiologist, NPI 1063863033

DR. JESSICA GOODWIN ALLEN (AU.D.) is a healthcare provider. based in Woodstock, Georgia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. The NPI Number for DR. JESSICA GOODWIN ALLEN (AU.D.) is 1063863033

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA GOODWIN ALLEN (AU.D.)
NPI
1063863033
Phone
(770) 726-8948
Address
280 Heritage Walk Ste 300
Enumeration Date
30 June 2016
Last Update Date
23 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
2668765884
Group Practice PAC ID
2062654437
Professional Enrollment ID
I20160726002265
Address ID
GA300241218Su4045XBXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:9State licenses:0Digital endpointsOther names

263 QUALIFIED AUDIOLOGIST in GA

Provider Addresses for DR. JESSICA GOODWIN ALLEN (AU.D.)

  • 280 Heritage Walk Ste 300

    Woodstock, GA 301883838

    Phone: (770) 726-8948

    Type: Location

  • 726 S Enota Dr NE Ste B

    Gainesville, GA 305012419

    Phone: (378) 971-4647

    Type: Location

  • 4045 JOHNS CREEK PKWY STE B

    SUWANEE, GA 300241218

    Phone: (770) 814-1260

    Fax: (770) 814-1261

    Type: Location

  • 4045 JOHNS CREEK PARKWAY

    SUITE B

    SAWANEE, GA 30024

    Phone: (770) 814-1260

    Fax: (770) 814-1261

    Type: Location

  • 4045 JOHNS CREEK PKWY

    STE B

    SUWANEE, GA 30024

    Phone: (770) 814-1260

    Fax: (770) 814-1261

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160726002265IQualified AudiologistGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test231231$0
92567Test to assess middle ear function6565$0
View full utilization report →

Insurance plans in this area (ZIP 30188)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062654437View full group profile
NameSpecialtyState
-GA
Qualified AudiologistGA
Qualified AudiologistGA
Qualified AudiologistGA
Qualified AudiologistGA
Qualified AudiologistGA
-GA

Reviews

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Frequently asked questions

Can I verify DR. JESSICA GOODWIN ALLEN (AU.D.) with an NPI only?
You can start verification with NPI 1063863033 for DR. JESSICA GOODWIN ALLEN (AU.D.), then check state licensing separately.
Is DR. JESSICA GOODWIN ALLEN (AU.D.) listed as active for patients and plans?
The listing shows DR. JESSICA GOODWIN ALLEN (AU.D.) as active in the NPI system.
What is DR. JESSICA GOODWIN ALLEN (AU.D.) best known for clinically?
Directory data describes DR. JESSICA GOODWIN ALLEN (AU.D.) with Audiologist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JESSICA GOODWIN ALLEN (AU.D.) on a map?
Expect Woodstock, Georgia as a primary anchor for DR. JESSICA GOODWIN ALLEN (AU.D.) unless the record lists multiple sites.
Why does DR. JESSICA GOODWIN ALLEN (AU.D.) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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