Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenna Viditz-Ward, AUD

Individual provider Audiologist · NPI 1093555716

Jenna Viditz-Ward, AUD is a Qualified Audiologist in Fort Mill, South Carolina. Qualified in 2024, 2 years ago. Practices with Lakeside Audiology LLC, a 3-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2024
Specialties on file
2
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

870 Gold Hill Rd Ste 104
Fort Mill, SC 29708-8988
Phone: (803) 620-8250
Fax: (803) 638-6901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 7971 (SC)
Audiologist-Hearing Aid Fitter Taxonomy 237600000X · Licence 7971 (SC)

Record details

NPI number1093555716
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedMay 30, 2024
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lakeside Audiology Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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