KERRY BODNAR EVANS (AUD) – Audiologist, NPI 1639516628

KERRY BODNAR EVANS (AUD) is a healthcare provider. based in Columbus, Georgia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. AUD003929 (GA). The NPI Number for KERRY BODNAR EVANS (AUD) is 1639516628

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KERRY BODNAR EVANS (AUD)
NPI
1639516628
Phone
(706) 324-6112
Address
2424 DOUBLE CHURCHES RD
Enumeration Date
30 May 2013
Last Update Date
10 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
5395987481
Group Practice PAC ID
2062690480
Professional Enrollment ID
I20130820000972
Address ID
GA302863480TH612XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

263 QUALIFIED AUDIOLOGIST in GA

Provider Addresses for KERRY BODNAR EVANS (AUD)

  • 2424 DOUBLE CHURCHES RD

    COLUMBUS, GA 319092741

    Phone: (706) 324-6112

    Fax: (706) 596-8259

    Mailing address matches the actual address.

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: 2013-08-20

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
I20130820000972IQualified 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 test172150$0
92567Test to assess middle ear function172150$0
View full utilization report →

Insurance plans in this area (ZIP 31909)

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Provider's Procedures

KERRY BODNAR EVANS (AUD) 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 movement1313
QUALIFIED AUDIOLOGISTGA92567Eardrum testing using ear probe136126

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: 2062690480View full group profile
NameSpecialtyState
General SurgeryGA
-GA
Physician AssistantGA
General SurgeryGA
O T O L A R Y N G O L O G YME
Physician AssistantGA
Nurse PractitionerGA
U R O L O G YGA
General SurgeryGA

Reviews

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Frequently asked questions

What number should I use to identify KERRY BODNAR EVANS (AUD) for billing?
Administrative and clinical systems typically use NPI 1639516628 for KERRY BODNAR EVANS (AUD).
Is KERRY BODNAR EVANS (AUD)'s NPI status active today?
Active status means KERRY BODNAR EVANS (AUD)'s NPI record is not deactivated in the public file.
What services align with KERRY BODNAR EVANS (AUD)'s listing?
KERRY BODNAR EVANS (AUD)'s public classification highlights Audiologist. Clinical services aligned with this taxonomy classification.
What city is tied to KERRY BODNAR EVANS (AUD)?
The directory associates KERRY BODNAR EVANS (AUD) with Columbus, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains KERRY BODNAR EVANS (AUD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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COLUMBUS SPEECH & HEARING CENTER

Speech-Language Pathologist
2424 DOUBLE CHURCHES RD
NPI: 1467576140