Individual provider Active NPI

Jeffrey Blake Erwin

  • Hearing Instrument Specialist
  • Gadsden, AL
National Provider Identifier
1124515374
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2294 Issued in AL
Practice address
110 Riley St
Gadsden, AL 35901-5432
Phone
(256) 547-2373
Fax
(256) 547-5353
NPI assigned
Apr 13, 2018
Last updated
Apr 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2294 AL Primary

Addresses

Primary practice location

110 Riley St
Gadsden, AL 35901-5432

Mailing address

110 Riley St
Gadsden, AL 35901-5432
Phone (256) 547-2373

Other practice location 1

20 Cropwell Dr
Pell City, AL 35128-7566
Phone (205) 338-1754

Other practice location 2

1949 Gault Ave N
Fort Payne, AL 35967-3482
Phone (256) 997-5681

Other practice location 3

4198 US Highway 431
Albertville, AL 35950-0238
Phone (256) 878-9912

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
2294ALMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden Hearing Aid, Inc. Past Accepting new patients
Gadsden Hearing Aid, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1124515374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RILEY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015432",
            "telephone_number": "256-547-2373",
            "fax_number": "256-547-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RILEY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015432",
            "telephone_number": "256-547-2373",
            "fax_number": "256-547-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Cropwell Dr",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351287566",
            "country_code": "US",
            "telephone_number": "205-338-1754",
            "fax_number": "205-259-5057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1949 Gault Ave N",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359673482",
            "country_code": "US",
            "telephone_number": "256-997-5681",
            "fax_number": "256-844-2346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4198 US Highway 431",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "AL",
            "postal_code": "359500238",
            "country_code": "US",
            "telephone_number": "256-878-9912",
            "fax_number": "256-878-9913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "JEFFREY",
        "middle_name": "BLAKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AL",
            "license": "2294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.