Active NPI
Stevenson Hearing Healthcare, LLC
- Hearing Aid Equipment
- Marietta, GA
National Provider Identifier
1477040657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- License
- HADS000963
- Legal business name
- STEVENSON HEARING HEALTHCARE, LLC
- Practice address
- 145 N Marietta Pkwy NE Ste E
Marietta, GA 30060-8023 - Phone
- (770) 590-8662
- NPI assigned
- Apr 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Mark Stevenson Sr.
- Title
- Owner / Had
- Phone
- (770) 590-8662
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | HADS000963 | GA | Primary |
Addresses
Primary practice location
145 N Marietta Pkwy NE Ste E
Marietta, GA 30060-8023
Mailing address
145 N Marietta Pkwy NE Ste E
Marietta, GA 30060-8023
Phone (770) 590-8662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035185274 | Other | GA | DL |
Other names 1
- American Family Hearing Aid Center
National Provider Directory
National Provider DirectoryLocations
145 N Marietta Pkwy NE
Ste E
Marietta, GA 30060
Phone (770) 422-6644
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hearing Instrument Specialist
- Marietta, GA
- NPI 1740395920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654041600000",
"number": "1477040657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 N MARIETTA PKWY NE STE E",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608023",
"telephone_number": "770-590-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 N MARIETTA PKWY NE STE E",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608023",
"telephone_number": "770-590-8662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVENSON HEARING HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-13",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "OWNER / HAD",
"authorized_official_telephone_number": "770-590-8662",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "GA",
"license": "HADS000963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DL",
"identifier": "035185274",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "American Family Hearing Aid Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.