Individual provider Active NPI

Larry T. Hixson, ACA-BC-HIS

  • Hearing Instrument Specialist
  • Ft Oglethorpe, GA
National Provider Identifier
1457531964
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Practice address
940 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4044
Phone
(706) 858-0466
Fax
(503) 659-5968
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X GA
Hearing Instrument Specialist 237700000X 299 TN
Hearing Instrument Specialist 237700000X GA Primary

Addresses

Primary practice location

940 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4044

Mailing address

8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999

Other practice location 1

4505 Brainerd Rd
Chattanooga, TN 37411-5429
Phone (423) 698-7978

Other identifiers 1

IdentifierTypeStateIssuer
4033913OtherTNBLUE CROSS BLUE SHIELD TN

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
299TNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers Inc Hearing Instrument Specialist PastSince Dec 15, 2019 Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 2

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1457531964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 BATTLEFIELD PKWY",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424044",
            "telephone_number": "706-858-0466",
            "fax_number": "503-659-5968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 Brainerd Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374115429",
            "country_code": "US",
            "telephone_number": "423-698-7978",
            "fax_number": "423-624-5482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "LARRY",
        "middle_name": "T.",
        "credential": "ACA-BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TN",
            "license": "299",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4033913",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.