Individual provider Active NPI

Douglas R Lorber

  • Audiologist
  • Albany, GA
National Provider Identifier
1033280672
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD000836 Issued in GA
Practice address
1502 W 3Rd Ave
Albany, GA 31707-3648
Phone
(229) 434-0003
Fax
(229) 434-0313
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD000836 GA Primary

Addresses

Primary practice location

1502 W 3Rd Ave
Albany, GA 31707-3648

Mailing address

1502 W 3Rd Ave
Albany, GA 31707-3648
Phone (229) 434-0003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715000818 GA Practitioner - Qualified Audiologist 9931188737 Reassigns benefits to 1 organization
Practice locations: Albany, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD000836GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

11400 N Jog Rd
Palm Beach Gardens, FL 33418
Phone 5614788770 ext. 181

1502 W 3rd Ave
Albany, GA 31707
Phone (229) 434-0003

922 E Jefferson St
Ste D
Americus, GA 31709
Phone (229) 928-6000

2140 Peachtree Rd NW
Ste 350
Atlanta, GA 30309
Phone (404) 351-4114

Organizations & group practices 1

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1033280672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073648",
            "telephone_number": "229-434-0003",
            "fax_number": "229-434-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073648",
            "telephone_number": "229-434-0003",
            "fax_number": "229-434-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORBER",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD000836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.