Grace Hearing and Language Services, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

004014 Issued in GA

Legal business name

GRACE HEARING AND LANGUAGE SERVICES, LLC

Practice address

3400 Chapel Hill Rd
Douglasville, GA 30135-1739

Phone

(678) 741-5310

NPI assigned

Aug 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nichelle J Wilson, AUD

Title

Audiologist/Owner

Phone

(762) 333-4400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1285188839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739",
            "telephone_number": "678-741-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HEARING AND LANGUAGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "762-333-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "GA",
            "license": "004014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES INDIVIDUAL",
            "identifier": "1730632290",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saye Gorgor
• Daniel J Gorzynski, PHARMD
• Sheila Ann Gowdy, OD
• GR8 Senior Care, LLC
• Grace Assisted Living of Douglasville, LLC
• Grace Oasis Personal Care Home LLC
• Grace Walkers Center Transportation
• Shunte L Graham
• Kana Koenig Gramling, OTR/L
• Grands Premier Health & Lab Diagnostics LLC

• Hearing and Speech Clinic/Center in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Hearing and Speech Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.