Individual provider Active NPI

Tyrone Singletary

  • Audiology Assistant
  • Fort Stewart, GA
National Provider Identifier
1063814556
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiology AssistantTaxonomy code 2355A2700X
License
115107N Issued in CA
Practice address
1601 Harmon Drive
Fort Stewart, GA 31314
Phone
(912) 767-3133
NPI assigned
Sep 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiology Assistant 2355A2700X 115107N CA Primary
Other Technician 247200000X 115107 CA

Addresses

Primary practice location

1601 Harmon Drive
Fort Stewart, GA 31314

Mailing address

907 Byrum Dr
Hinesville, GA 31313-5752
Phone (760) 207-8564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115107CAMDMarriage & Family Therapist
115107NCAMDAudiology Assistant

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1063814556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 BYRUM DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313135752",
            "telephone_number": "760-207-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HARMON DRIVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-767-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETARY",
        "first_name": "TYRONE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "CA",
            "license": "115107N",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CA",
            "license": "115107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.