Organization Active NPI

Hearcare Audiology

  • Audiologist
  • Waycross, GA
National Provider Identifier
1063556272
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD000531 Issued in GA
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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.NPI 1548751589
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000701984CMedicaidGA
000701984BMedicaidGA
055083858AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040503000906 GA Part B Supplier - Clinic/Group Practice 2769470491 Receives reassigned benefits from 4 practitioners
Practice locations: Waycross, GA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.