LUCY M BRADSHAW (AUD) – Audiologist, NPI 1659257004

LUCY M BRADSHAW (AUD) is a healthcare provider. based in Savannah, Georgia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. The NPI Number for LUCY M BRADSHAW (AUD) is 1659257004

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
LUCY M BRADSHAW (AUD)
NPI
1659257004
Phone
(912) 819-2622
Address
836 E 65TH ST STE 22
Enumeration Date
12 August 2025
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123561515
Graduation Year
2024 (2 years ago)
PAC ID
3274036041
Group Practice PAC ID
7214157742
Professional Enrollment ID
I20250910000262
Address ID
GA314056017SA5356XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

263 QUALIFIED AUDIOLOGIST in GA

Provider Addresses for LUCY M BRADSHAW (AUD)

  • 836 E 65TH ST STE 22

    SAVANNAH, GA 314054493

    Phone: (912) 819-2622

    Type: Mailing

  • 5356 REYNOLDS STREET

    SUITE 505

    SAVANNAH, GA 31405

    Phone: (912) 354-1515

    Fax: (912) 644-0756

    Type: Location

  • 101 ST. JOSEPH'S CANDLER DRIVE

    SUITE 210

    POOLER, GA 31322

    Phone: (912) 356-1515

    Fax: (912) 644-0756

    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: 2025-09-10

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
I20250910000262IQualified 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 31405)

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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: 7214157742View full group profile

Reviews

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Frequently asked questions

How do payers reference LUCY M BRADSHAW (AUD)?
For LUCY M BRADSHAW (AUD), use NPI 1659257004 as the unique 10-digit identifier.
Active or inactive — what applies to LUCY M BRADSHAW (AUD)?
You should see LUCY M BRADSHAW (AUD) as active in CMS-hosted NPPES data.
What expertise is attributed to LUCY M BRADSHAW (AUD)?
LUCY M BRADSHAW (AUD)'s specialty line reads Audiologist. Clinical services aligned with this taxonomy classification.
Is LUCY M BRADSHAW (AUD) located near Savannah?
LUCY M BRADSHAW (AUD) currently maps to Savannah, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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