Active NPI
Hearcare Audiology
- Audiologist
- Waycross, GA
National Provider Identifier
1063556272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD000531
- Legal business name
- HEARCARE AUDIOLOGY
- Practice address
- 1705 Boulevard SQ Ste B
Waycross, GA 31501 - Phone
- (912) 284-9200
- Fax
- (912) 284-9887
- NPI assigned
- Feb 19, 2007
- Last updated
- Jun 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tiffany Roe Hankla, AU.D.
- Title
- Treasurer
- Phone
- (912) 284-9200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD000531 | GA | Primary |
Addresses
Primary practice location
1705 Boulevard SQ Ste B
Waycross, GA 31501
Mailing address
1705 Boulevard SQ Ste B
Waycross, GA 31501-8032
Phone (912) 284-9200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000701984C | Medicaid | GA | |
| 000701984B | Medicaid | GA | |
| 055083858A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1705 Boulevard Sq
Ste B
Waycross, GA 31501
Phone (912) 284-9200
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Audiologist
- Waycross, GA
- NPI 1548751589
-
- Audiologist
- Waycross, GA
- NPI 1841774957
-
- Audiologist
- Brunswick, GA
- NPI 1598650137
-
- Audiologist
- Waycross, GA
- NPI 1437155108
-
- Audiologist
- Waycross, GA
- NPI 1588665558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750032000000",
"number": "1063556272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 BOULEVARD SQ STE B",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315018032",
"telephone_number": "912-284-9200",
"fax_number": "912-284-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 BOULEVARD SQ STE B",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "31501",
"telephone_number": "912-284-9200",
"fax_number": "912-284-9887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARCARE AUDIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A",
"authorized_official_last_name": "HANKLA",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "ROE",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "912-284-9200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD000531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000701984C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000701984B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055083858A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.