North East Georgia Hearing & Balance Clinic

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD001447 Issued in GA

Legal business name

NORTH EAST GEORGIA HEARING & BALANCE CLINIC

Doing business as

NEGA Hearing & Balance Clinic

Practice address

355 Clear Creek Pkwy
Suite 201
Lavonia, GA 30553-4173

Phone

(706) 356-0377

NPI assigned

Jun 14, 2012

Last updated

Jun 14, 2012By 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

Georgeanne M Thomas, AUD

Title

Owner

Phone

(706) 621-0387

Specialties & licenses 1

Addresses

Other names 1

• NEGA Hearing & Balance Clinic Doing business as

Locations

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1134481112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CLEAR CREEK PKWY",
            "address_2": "SUITE 201",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305534173",
            "telephone_number": "706-356-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CLEAR CREEK PKWY",
            "address_2": "SUITE 201",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305534173",
            "telephone_number": "706-356-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST GEORGIA HEARING & BALANCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GEORGEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-621-0387",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD001447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEGA Hearing & Balance Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ansley Pulsifer, FNP

• Audiologist in Lavonia, GA
• Providers in Lavonia, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.