Active NPI
Mobile Hearing of Georgia, LLC
- Audiologist
- Augusta, GA
National Provider Identifier
1265807358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- MOBILE HEARING OF GEORGIA, LLC
- Practice address
- 2021 Scott Rd
Augusta, GA 30906-2539 - Phone
- (706) 793-1057
- NPI assigned
- Dec 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason P Wigand, AUD
- Title
- Owner
- Phone
- (855) 259-9183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
2021 Scott Rd
Augusta, GA 30906-2539
Mailing address
12910 Shelbyville Rd
Suite 300
Louisville, KY 40243-1593
Phone (502) 244-2441
Other names 1
- Special Care Hearing
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448928000000",
"number": "1265807358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12910 SHELBYVILLE RD",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402431593",
"telephone_number": "502-244-2441",
"fax_number": "502-254-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 SCOTT RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309062539",
"telephone_number": "706-793-1057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE HEARING OF GEORGIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-01",
"last_updated": "2015-12-01",
"status": "A",
"authorized_official_last_name": "WIGAND",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "855-259-9183",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Special Care Hearing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.