Individual provider Active NPI

Jamie Burton Shumaker, AU.D

  • Audiologist-Hearing Aid Fitter
  • Dothan, AL
National Provider Identifier
1023283041
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
961A Issued in AL
Practice address
200 Grove Park LN Ste 800
Dothan, AL 36305-5912
Phone
(334) 702-4327
Fax
(334) 702-4328
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 961A AL
Audiologist-Hearing Aid Fitter 237600000X 961A AL Primary

Addresses

Primary practice location

200 Grove Park LN Ste 800
Dothan, AL 36305-5912

Mailing address

200 Grove Park LN Ste 800
Dothan, AL 36305-5912
Phone (334) 702-4327

Other practice location 1

101 E Brunson St Ste 102
Enterprise, AL 36330-2500
Phone (334) 702-4327

Other identifiers 1

IdentifierTypeStateIssuer
515OtherBCBS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090414000302 AL Practitioner - Qualified Audiologist 4789741547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Associates of Dothan, LLCGroup PAC ID 2062579824, 2 clinicians

Practice addresses (Care Compare)

101 E Brunson St
Suite 102
Enterprise, AL 36330-2500
Phone (334) 702-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
961AALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Associates of Dothan, LLC Audiologist CurrentSince Feb 9, 2009 Accepting new patients
Scott a. Charlton, MD, PC CurrentSince Jul 1, 2012 Accepting new patients

Locations

200 Grove Park Ln
Ste 800
Dothan, AL 36305
Phone (334) 702-4327

101 E Brunson St
Ste 102
Enterprise, AL 36330
Phone (334) 393-2353

101 E Brunson St
Ste 105
Enterprise, AL 36330
Phone (334) 393-2353

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1023283041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 800",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055912",
            "telephone_number": "334-702-4327",
            "fax_number": "334-702-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 800",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055912",
            "telephone_number": "334-702-4327",
            "fax_number": "334-702-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Brunson St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363302500",
            "country_code": "US",
            "telephone_number": "334-702-4327",
            "fax_number": "334-702-4328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMAKER",
        "first_name": "JAMIE",
        "middle_name": "BURTON",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "961A",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AL",
            "license": "961A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.