Southern Home Hearing LLC.

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

Legal business name

SOUTHERN HOME HEARING LLC.

Practice address

201 Gentilly Rd
Statesboro, GA 30458-5131

Phone

(912) 436-0330

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

James Reginal Harrison, BC-HISNPI 1629542048

Title

Ceo/Provider

Phone

(912) 436-0330

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Harrison

  • Hearing Instrument Specialist
  • Statesboro, GA
  • NPI 1629542048
  NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1356969786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GENTILLY RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585131",
            "telephone_number": "912-436-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GENTILLY RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585131",
            "telephone_number": "912-436-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1829 Lakeview Rd",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304618093",
            "country_code": "US",
            "telephone_number": "912-318-9936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6501 Arlington Expy Ste B105",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322110810",
            "country_code": "US",
            "telephone_number": "855-828-0830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN HOME HEARING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-09-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "REGINAL",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "912-436-0330",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DESPENSOR",
            "identifier": "HADS001003",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Statesboro, GA
• Hearing Aid Equipment in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.