NPIMap

Organization Active NPI

Elite Hearing Care

  • Hearing Instrument Specialist
  • Valdosta, GA
National Provider Identifier
1033074018
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
ELITE HEARING CARE
Practice address
104 E Moore St
Valdosta, GA 31602-2911
Phone
(229) 253-9619
NPI assigned
Dec 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Robert Willis, HASNPI 1730525874
Title
Owner
Phone
(229) 253-9619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

104 E Moore St
Valdosta, GA 31602-2911

Mailing address

104 E Moore St
Valdosta, GA 31602-2911
Phone (229) 253-9619

Other practice location 1

39 Kent Rd Ste 9
Tifton, GA 31794-1697
Phone (229) 253-9619

Other practice location 2

101 Bowens Mill Rd
Douglas, GA 31533-2254
Phone (229) 253-9619

Other practice location 3

1405 S Main St
Moultrie, GA 31768-5811
Phone (229) 253-9619

National Provider Directory

National Provider Directory

Locations

101 Bowens Mill Rd
Douglas, GA 31533
Phone (229) 253-9619

1405 S Main St
Moultrie, GA 31768
Phone (229) 785-2335

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1033074018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E MOORE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022911",
            "telephone_number": "229-253-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MOORE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022911",
            "telephone_number": "229-253-9619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Kent Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317941697",
            "country_code": "US",
            "telephone_number": "229-253-9619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Bowens Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332254",
            "country_code": "US",
            "telephone_number": "229-253-9619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 S Main St",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317685811",
            "country_code": "US",
            "telephone_number": "229-253-9619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE HEARING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-253-9619",
        "authorized_official_credential": "HAS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.