Courtney Summer Burrell, HADS001059

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HADS001059 Issued in GA

Practice address

125 S Broad St
Monroe, GA 30655-2105

Phone

(678) 478-7440

NPI assigned

Apr 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Commerce Hearing Aid Outlet

  • Hearing Instrument Specialist
  • Monroe, GA
  • NPI 1356188718
  NPD
• Commerce Hearing Aid Outlet

  • Hearing Aid Equipment
  • Commerce, GA
  • NPI 1790410660

  Hearing Instrument Specialist

  NPD

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1407598949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S BROAD ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552105",
            "telephone_number": "678-478-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S BROAD ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552105",
            "telephone_number": "678-478-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "COURTNEY",
        "middle_name": "SUMMER",
        "name_prefix": "Mrs.",
        "credential": "HADS001059",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADE035385",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS001059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 S Broad St",
            "city": "Monroe",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306552105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charon Brown
• Lawrence Michael Bruner Jr., NP-C
• Melissa Jones Bupp, APRN
• Sha'Teira Keyaji Burnett
• Diondra Trenee' Burney Atoyebi, D.O.
• Stacey Ann Busboom, ED.S., CCC-SLP
• Loretta Butler, RN
• Danielle Butts, LPN
• Tracy M Bynum
• Calhoun Physical Therapy

• All providers in Monroe, GA
• Hearing Instrument Specialist in Georgia

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