Individual provider Active NPI

Carey Campbell Mathurin

  • Hearing Instrument Specialist
  • Loganville, GA
National Provider Identifier
1487518544
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADS001144 Issued in GA
Practice address
3540 Hwy 78 Suite 103
Loganville, GA 30052
Phone
(470) 375-2196
NPI assigned
Dec 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HADS001144 GA Primary

Addresses

Primary practice location

3540 Hwy 78 Suite 103
Loganville, GA 30052

Mailing address

1770 Eisenhower Ave
Bogart, GA 30622-8321
Phone (706) 372-6258

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
HADS001144GAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1487518544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 EISENHOWER AVE",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306228321",
            "telephone_number": "706-372-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 HWY 78 SUITE 103",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "30052",
            "telephone_number": "470-375-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHURIN",
        "first_name": "CAREY",
        "middle_name": "CAMPBELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS001144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.