Organization Active NPI

Hearing Associates of Dothan, LLC

  • Audiologist-Hearing Aid Fitter
  • Dothan, AL
National Provider Identifier
1497900518
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
961A Issued in AL
Legal business name
HEARING ASSOCIATES OF DOTHAN, LLC
Practice address
200 Grove Park LN Ste 800
Dothan, AL 36305-5912
Phone
(334) 702-4327
Fax
(334) 702-4328
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Jamie Burton Shumaker, AU.D.NPI 1023283041
Title
Audiologist/Member
Phone
(334) 702-4327

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X 961A AL Primary
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X 923A AL

Addresses

Primary practice location

200 Grove Park LN Ste 800
Dothan, AL 36305-5912

Mailing address

200 Grove Park LN Ste 800
Dothan, AL 36305-5912
Phone (334) 702-4327

Other practice location 1

101 E Brunson St Ste 102
Enterprise, AL 36330-2500
Phone (334) 702-4327

Other identifiers 1

IdentifierTypeStateIssuer
515OtherALBCBS OF ALABAMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090323000061 AL Part B Supplier - Clinic/Group Practice 2062579824 Receives reassigned benefits from 2 practitioners
Practice locations: Dothan, AL; Enterprise, AL

National Provider Directory

National Provider Directory

Locations

200 Grove Park Ln
Ste 800
Dothan, AL 36305
Phone (334) 702-4327

Practitioners & affiliated clinicians

Practitioners 3

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": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1497900518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 800",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055912",
            "telephone_number": "334-702-4327",
            "fax_number": "334-702-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 800",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055912",
            "telephone_number": "334-702-4327",
            "fax_number": "334-702-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Brunson St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363302500",
            "country_code": "US",
            "telephone_number": "334-702-4327",
            "fax_number": "334-702-4328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEARING ASSOCIATES OF DOTHAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SHUMAKER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "AUDIOLOGIST/MEMBER",
        "authorized_official_telephone_number": "334-702-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AL",
            "license": "961A",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AL",
            "license": "923A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.