Southeastern Audiology, Inc.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AUD 3780 Issued in GA

Legal business name

SOUTHEASTERN AUDIOLOGY, INC.

Practice address

527 Stephenson Ave
A-3
Savannah, GA 31405

Phone

(912) 352-8530

NPI assigned

Jul 23, 2008

Last updated

Dec 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gabriel J Pitt, AU.D.

Title

Owner/Audiologist

Phone

(912) 352-8530

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Southeastern Audiology Other name

Locations

Practitioners 4

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.

• Nicholas Brikash Pitt

  • Hearing Instrument Specialist
  • Winder, GA
  • NPI 1619466273
  NPD
• Shannon Shorter, HIS

  • Hearing Instrument Specialist
  • Savannah, GA
  • NPI 1750950010
  NPD
• Tiffany D Taylor, M.ED.

  • Audiologist-Hearing Aid Fitter
  • Savannah, GA
  • NPI 1730476284
  NPD (past)
• Shelley August Walz

  • Hearing Instrument Specialist
  • Tucker, GA
  • NPI 1932444262
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1063677664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 STEPHENSON AVE",
            "address_2": "A-3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055923",
            "telephone_number": "912-352-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 STEPHENSON AVE",
            "address_2": "A-3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-352-8530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315464666",
            "country_code": "US",
            "telephone_number": "912-352-8530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Blue Moon Xing # 103",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229698",
            "country_code": "US",
            "telephone_number": "912-352-8530",
            "fax_number": "888-965-6992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063625",
            "country_code": "US",
            "telephone_number": "912-352-8530",
            "fax_number": "888-965-6992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Shoppers Way Ste 112",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315250522",
            "country_code": "US",
            "telephone_number": "912-352-8530",
            "fax_number": "888-965-6992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Shoppers Way Ste 112",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315250522",
            "country_code": "US",
            "telephone_number": "912-352-8530",
            "fax_number": "888-965-6992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748908",
            "country_code": "US",
            "telephone_number": "912-537-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16741 Highway 67 Ste E",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304582529",
            "country_code": "US",
            "telephone_number": "912-681-4403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEASTERN AUDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "PITT",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "912-352-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD3780",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "AUD 3899",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "GA",
            "license": "AUD 3780",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "SC",
            "license": "AUD 3899",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "SC",
            "license": "AUD 3899",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD 3780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337091148",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Audiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
• Southeast Lung & Criticial Care Specialists, PC (Southeast Lung Associates)
• Southeast Scripts
• Southeast Spine Care and Pain Management
• Southeast Spine Center, LLC
• Southeastern Medical Compounding LLC
• Southeastern Medical Equip
• Southeastern OB/GYN Center LLC
• Southeastern Oral and Maxillofacial Surgical Associates P.C.
• Southeastern Pathology Associates Inc.

• Audiologist-Hearing Aid Fitter in Savannah, GA
• Providers in Savannah, GA by specialty
• Audiologist-Hearing Aid Fitter in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.