JENNIFER ALICE DOUBERLY (AU.D.) – Audiologist, NPI 1942399027

JENNIFER ALICE DOUBERLY (AU.D.) is a healthcare provider. based in Athens, Georgia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. AUD003749 (GA). The NPI Number for JENNIFER ALICE DOUBERLY (AU.D.) is 1942399027

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ALICE DOUBERLY (AU.D.)
NPI
1942399027
Phone
(706) 546-5689
Address
150 Nacoochee Ave
Enumeration Date
12 October 2006
Last Update Date
13 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703391500
Graduation Year
2006 (20 years ago)
PAC ID
8820192636
Group Practice PAC ID
3375774011
Professional Enrollment ID
I20070404000422
Address ID
GA300463394LA748XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

263 QUALIFIED AUDIOLOGIST in GA

Provider Addresses for JENNIFER ALICE DOUBERLY (AU.D.)

  • 150 Nacoochee Ave

    Athens, GA 306011823

    Phone: (706) 546-5689

    Fax: (706) 543-7675

    Type: Location

  • South Milledge Avenue, Athens, Clarke County, Georgia, 30609, United States

    ATHENS, GA 306051823

    Phone: (706) 850-3691

    Fax: (706) 609-3443

    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: 2007-04-04

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
I20070404000422IQualified 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 30601)

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Provider's Procedures

JENNIFER ALICE DOUBERLY (AU.D.) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTGA92567Eardrum testing using ear probe226218

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: 3375774011View full group profile

Reviews

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Frequently asked questions

How do I look up JENNIFER ALICE DOUBERLY (AU.D.) by NPI?
Use NPI 1942399027 when you need to reference JENNIFER ALICE DOUBERLY (AU.D.) in forms, claims, or directories.
Is JENNIFER ALICE DOUBERLY (AU.D.)'s NPI currently valid?
The extract we use shows JENNIFER ALICE DOUBERLY (AU.D.) as active.
Does JENNIFER ALICE DOUBERLY (AU.D.) list a primary specialty?
If you are matching referrals, note Audiologist for JENNIFER ALICE DOUBERLY (AU.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER ALICE DOUBERLY (AU.D.)?
The page summarizes Athens, Georgia for JENNIFER ALICE DOUBERLY (AU.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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