Organization Active NPI

Stevenson Hearing Healthcare, LLC

  • Hearing Aid Equipment
  • Marietta, GA
National Provider Identifier
1477040657
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
HADS000963 Issued in GA
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

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Mr. John Mark Stevenson Sr.NPI 1740395920
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
035185274OtherGADL

Other names 1

  • American Family Hearing Aid Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.