NPIMap

Organization Active NPI

Activear, LLC

  • Hearing Aid Equipment
  • Warner Robins, GA
National Provider Identifier
1073055679
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
HADE035128 Issued in GA
Legal business name
ACTIVEAR, LLC
Practice address
200 S Houston Lake Rd
Warner Robins, GA 31088-9006
Phone
(478) 922-4327
Fax
(229) 245-1020
NPI assigned
Nov 14, 2016
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Lorissa Miller
Title
Owner
Phone
(229) 506-3451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X HADE035128 GA Primary

Addresses

Primary practice location

200 S Houston Lake Rd
Warner Robins, GA 31088-9006

Mailing address

2935 N Ashley St Ste 101
Valdosta, GA 31602-1786
Phone (229) 506-3451

National Provider Directory

National Provider Directory
Tax ID family
Activear LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2935 N Ashley St
Ste 101
Valdosta, GA 31602
Phone (229) 245-1122

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1073055679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 N ASHLEY ST STE 101",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021786",
            "telephone_number": "229-506-3451",
            "fax_number": "229-245-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889006",
            "telephone_number": "478-922-4327",
            "fax_number": "229-245-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVEAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LORISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-506-3451"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "GA",
            "license": "HADE035128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.