Organization Active NPI

Hennessy Hearing Ga, LLC

  • Hearing Instrument Specialist
  • Thomasville, GA
National Provider Identifier
1073913042
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADE035045 Issued in GA
Legal business name
HENNESSY HEARING GA, LLC
Doing business as
Miracle Ear
Practice address
120 E Monroe St
Thomasville, GA 31792-5141
Phone
(229) 236-3277
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Ann E Hennessy, MS
Title
President
Phone
(850) 942-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X HADE035045 GA Primary

Addresses

Primary practice location

120 E Monroe St
Thomasville, GA 31792-5141

Mailing address

900 Capital Cir SE
Tallahassee, FL 32301-3823
Phone (850) 942-4007

Other names 1

  • Miracle Ear Doing business as

National Provider Directory

National Provider Directory

Locations

900 Capital Cir SE
Tallahassee, FL 32301

120 E Monroe St
Thomasville, GA 31792
Phone (229) 236-3277

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1073913042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAPITAL CIR SE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013823",
            "telephone_number": "850-942-4007",
            "fax_number": "850-942-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E MONROE ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925141",
            "telephone_number": "229-236-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNESSY HEARING GA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "HENNESSY",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-942-4007",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADE035045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.