DR. JELANI CONWAY (AU.D) – Audiologist, NPI 1649841644

DR. JELANI CONWAY (AU.D) is a healthcare provider. based in Decatur, Georgia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D. They hold a License No. AUD004280 (GA). The NPI Number for DR. JELANI CONWAY (AU.D) is 1649841644

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. JELANI CONWAY (AU.D)
NPI
1649841644
Phone
(770) 875-9147
Address
2675 KNOLLBERRY LN
Enumeration Date
9 July 2021
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485282116
Graduation Year
2021 (5 years ago)
PAC ID
8123422698
Group Practice PAC ID
6608110390
Professional Enrollment ID
I20210805000156
Address ID
GA300922924NO40XXXSXXX401

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

263 QUALIFIED AUDIOLOGIST in GA

Provider Addresses for DR. JELANI CONWAY (AU.D)

  • 2675 KNOLLBERRY LN

    DECATUR, GA 300343240

    Phone: (770) 875-9147

    Type: Mailing

  • 613 GENTRYS WALK

    ATLANTA, GA 303411247

    Phone:

    Type: Mailing

  • 2470 MOUNT ZION PKWY

    JONESBORO, GA 302362500

    Phone: (800) 611-1811

    Type: Location

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: 2021-08-05

PECOS data refreshed: 2026-06-15

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
I20210805000156IQualified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30034)

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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: 6608110390View full group profile
NameSpecialtyState
-FL
Qualified AudiologistGA
Qualified AudiologistGA
Qualified AudiologistOH
Qualified AudiologistGA
Qualified AudiologistGA
Qualified AudiologistPR
-NC
Qualified AudiologistGA

Reviews

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Frequently asked questions

Is DR. JELANI CONWAY (AU.D) listed with a National Provider Identifier?
Yes — DR. JELANI CONWAY (AU.D) has NPI 1649841644 on file in the registry.
Is DR. JELANI CONWAY (AU.D) shown as active in public data?
Registry records indicate DR. JELANI CONWAY (AU.D) maintains an active NPI.
What expertise is attributed to DR. JELANI CONWAY (AU.D)?
DR. JELANI CONWAY (AU.D)'s specialty line reads Audiologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JELANI CONWAY (AU.D)?
Directory geography for DR. JELANI CONWAY (AU.D) centers on Decatur, Georgia.
Does DR. JELANI CONWAY (AU.D) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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