Individual provider Active NPI

Chase Pace, AUD

  • Audiologist
  • Hattiesburg, MS
National Provider Identifier
1245888940
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1238A Issued in AL
Practice address
5128 Old Highway 11 Ste 8
Hattiesburg, MS 39402-6234
Phone
(601) 450-0280
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X
Audiologist 231H00000X 1238A AL Primary

Addresses

Primary practice location

5128 Old Highway 11 Ste 8
Hattiesburg, MS 39402-6234

Mailing address

5128 Old Highway 11 Ste 8
Hattiesburg, MS 39402-6234
Phone (601) 450-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191017000000 AL Practitioner - Qualified Audiologist 1759612070 Reassigns benefits to 1 organization
I20201028000145 MS Practitioner - Qualified Audiologist 1759612070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Hearing and Balance LLCGroup PAC ID 5294050662, 6 clinicians

Practice addresses (Care Compare)

5128 Old Hwy 11
Suite 8
Hattiesburg, MS 39402-6234
Phone (601) 450-0280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1238AALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hearing and Balance LLC Audiologist CurrentSince Oct 1, 2020 Accepting new patients
Premier Health Management, Inc. CurrentSince Aug 6, 2019 Accepting new patients
Premier Health Management, Inc. Audiologist CurrentSince Aug 6, 2019 Accepting new patients

Locations

2880 Dauphin St
Mobile, AL 36606
Phone (251) 341-3368

3701 Dauphin St
Mobile, AL 36608
Phone (251) 341-3368

1211 Highway 98 Byp
Columbia, MS 39429

5128 Old Highway 11
Ste 8
Hattiesburg, MS 39402
Phone (601) 450-0280

360 Simpson Highway 149
Ste 170
Magee, MS 39111
Phone (601) 439-0635

11 Professional Pkwy
Petal, MS 39465

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1245888940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 OLD HIGHWAY 11 STE 8",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026234",
            "telephone_number": "601-450-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 OLD HIGHWAY 11 STE 8",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026234",
            "telephone_number": "601-450-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "CHASE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1238A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.