NPIMap

Organization Active NPI

Mid-South Hearing, LLC

Doing business as Miracle-Ear Hearing Aid Center

  • Hearing Instrument Specialist
  • Jackson, TN
National Provider Identifier
1487847323
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
658 Issued in TN
Legal business name
MID-SOUTH HEARING, LLC
Doing business as
Miracle-Ear Hearing Aid Center
Practice address
2021 Greystone SQ
Jackson, TN 38305-3576
Phone
(731) 668-3165
Fax
(731) 668-9860
NPI assigned
Aug 23, 2007
Last updated
May 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Bobby Richard Hardy, H.I.S.NPI 1649584897
Title
Owner/Manager
Phone
(731) 668-3165

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 Instrument Specialist 237700000X 658 TN Primary

Addresses

Primary practice location

2021 Greystone SQ
Jackson, TN 38305-3576

Mailing address

888 County Road 115
New Albany, MS 38652-9518
Phone (731) 668-3165

Other identifiers 1

IdentifierTypeStateIssuer
1B4080841OtherTNBLUE CROSS BLUE SHIELD

Other names 1

  • Miracle-Ear Hearing Aid Center Doing business as

National Provider Directory

National Provider Directory

Locations

2021 Greystone Sq
Jackson, TN 38305
Phone (731) 668-3165

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1487847323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 COUNTY ROAD 115",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386529518",
            "telephone_number": "731-668-3165",
            "fax_number": "731-668-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053576",
            "telephone_number": "731-668-3165",
            "fax_number": "731-668-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH HEARING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "731-668-3165",
        "authorized_official_credential": "H.I.S."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TN",
            "license": "658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1B4080841",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle-Ear Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.