NPIMap

Organization Active NPI

Premier Hearing of Jacksonville

  • Hearing and Speech Clinic/Center
  • Jacksonville, AL
National Provider Identifier
1386464030
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
PREMIER HEARING OF JACKSONVILLE
Practice address
1505 Pelham Rd S Ste 5
Jacksonville, AL 36265-3707
Phone
(256) 644-5114
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Mr. Rodney PrickettNPI 1720761133
Title
Owner
Phone
(256) 644-5114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

1505 Pelham Rd S Ste 5
Jacksonville, AL 36265-3707

Mailing address

1505 Pelham Rd S Ste 5
Jacksonville, AL 36265-3707
Phone (256) 644-5114

National Provider Directory

National Provider Directory

Locations

1505 Pelham Rd S
Ste 5
Jacksonville, AL 36265
Phone (256) 644-5114

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1386464030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 PELHAM RD S STE 5",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653707",
            "telephone_number": "256-644-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 PELHAM RD S STE 5",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653707",
            "telephone_number": "256-644-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEARING OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "PRICKETT",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-644-5114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.