MR. ADAM LOPEZ (M.A./CCC-A) – Audiologist, NPI 1619933801

MR. ADAM LOPEZ (M.A./CCC-A) is a healthcare provider. based in Snellville, Georgia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.A./CCC-A. They hold a License No. AUD003745 (GA). The NPI Number for MR. ADAM LOPEZ (M.A./CCC-A) is 1619933801

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. ADAM LOPEZ (M.A./CCC-A)
NPI
1619933801
Phone
(770) 972-4327
Address
2176 OAK RD STE D
Enumeration Date
25 April 2006
Last Update Date
2 August 2024

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
7709724327
Graduation Year
2002 (24 years ago)
PAC ID
3971671884
Group Practice PAC ID
1052550407
Professional Enrollment ID
I20081006000264
Address ID
GA300782374SN2176XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

263 QUALIFIED AUDIOLOGIST in GA

Provider Addresses for MR. ADAM LOPEZ (M.A./CCC-A)

  • 2176 OAK RD STE D

    SNELLVILLE, GA 300782374

    Phone: (770) 972-4327

    Fax: (770) 972-4101

    Type: Mailing

  • Peachtree Street, Brookwood, Atlanta, Georgia, 30309, United States

    SUITE 200

    ATLANTA, GA 303092449

    Phone: (404) 351-5045

    Fax: (404) 351-6832

    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: 2008-10-06

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
I20081006000264IQualified 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
92567Test to assess middle ear function544501$0
92557Comprehensive hearing and speech recognition test538500$0
View full utilization report →

Insurance plans in this area (ZIP 30078)

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Provider's Procedures

MR. ADAM LOPEZ (M.A./CCC-A) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTGA92540Observation, testing, and recording of abnormal eye movement2222
QUALIFIED AUDIOLOGISTGA92567Eardrum testing using ear probe11571029

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: 1052550407View full group profile
NameSpecialtyState
-GA
Qualified AudiologistGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. ADAM LOPEZ (M.A./CCC-A)?
MR. ADAM LOPEZ (M.A./CCC-A) — NPI 1619933801 — is the standard way to identify this listing.
Is MR. ADAM LOPEZ (M.A./CCC-A) listed as active for patients and plans?
The listing shows MR. ADAM LOPEZ (M.A./CCC-A) as active in the NPI system.
What is MR. ADAM LOPEZ (M.A./CCC-A)'s primary classification?
Audiologist is the headline specialty for MR. ADAM LOPEZ (M.A./CCC-A) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. ADAM LOPEZ (M.A./CCC-A)?
MR. ADAM LOPEZ (M.A./CCC-A)'s geographic hint is Snellville, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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