Individual provider Active NPI

Tyler Calkins

  • Hearing Instrument Specialist
  • Lawrenceville, GA
National Provider Identifier
1326615360
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADS000837 Issued in GA
Practice address
250 Langley Dr
Lawrenceville, GA 30046-6940
Phone
(770) 995-1590
NPI assigned
Jun 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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 HADS000837 GA Primary

Addresses

Primary practice location

250 Langley Dr
Lawrenceville, GA 30046-6940

Mailing address

250 Langley Dr Ste 1106
Lawrenceville, GA 30046-6932
Phone (770) 995-1590

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
HADS000837GAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha & Omega Hearing Centers Hearing Instrument Specialist CurrentSince Jun 15, 2021 Accepting new patients

Locations

250 Langley Dr
Ste 1106
Lawrenceville, GA 30046
Phone (770) 995-1590

Organizations & group practices 1

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1326615360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LANGLEY DR STE 1106",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466932",
            "telephone_number": "770-995-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LANGLEY DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466940",
            "telephone_number": "770-995-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS000837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.