Organization Active NPI

Advanced Hearing & Balance Center

  • Audiologist
  • Brunswick, GA
National Provider Identifier
1497727564
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003521 Issued in GA
Legal business name
ADVANCED HEARING & BALANCE CENTER
Practice address
3025 Shrine Rd Ste 490
Brunswick, GA 31520-4784
Phone
(912) 267-1569
Fax
(912) 261-8285
NPI assigned
Feb 3, 2006
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Stacey O Miller
Title
Office Administrator
Phone
(912) 267-1569

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003627 GA
Audiologist 231H00000X AUD003521 GA Primary

Addresses

Primary practice location

3025 Shrine Rd Ste 490
Brunswick, GA 31520-4784

Mailing address

3025 Shrine Rd Ste 490
Brunswick, GA 31520-4784
Phone (912) 267-1569

Other identifiers 3

IdentifierTypeStateIssuer
00888126CMedicaidGA
00888126BMedicaidGA
236146832AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000683 GA Part B Supplier - Clinic/Group Practice 4486633559 Receives reassigned benefits from 1 practitioner
Practice locations: Brunswick, GA

National Provider Directory

National Provider Directory

Locations

3025 Shrine Rd
Ste 490
Brunswick, GA 31520
Phone (912) 267-1569

3228 Shrine Rd
Brunswick, GA 31520
Phone (912) 265-7996

Practitioners & affiliated clinicians

Practitioners 3

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": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1497727564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 490",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204784",
            "telephone_number": "912-267-1569",
            "fax_number": "912-261-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 490",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204784",
            "telephone_number": "912-267-1569",
            "fax_number": "912-261-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEARING & BALANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "912-267-1569"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003627",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888126C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888126B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236146832A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.