Amanda Hammon Guillotte, AU.D.
Individual provider Active NPI Audiologist · Gulfport, MS
NPI 1508975137 · NPPES record last updated Jan 18, 2012
Key facts
- NPI
- 1508975137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- A2920 (MS)
- Practice address
- 3017 13TH St
Gulfport, MS 39501-1833 - Phone
- (228) 863-6592
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Hearing Center LLC
Practice addresses (Care Compare)
257 Davis Ave
Suite B
Pass Christian, MS 39571-4541
Phone (228) 207-7102
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080606000160 | MS | Practitioner - Qualified Audiologist | 5395815039 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Hearing Center, LLC | Current |
Accepting new patients |
Locations
1720A Medical Park Dr
Ste 140
Biloxi, MS 39532
Phone (228) 207-7102
970 Tommy Munro Dr
Ste A
Biloxi, MS 39532
Phone (228) 207-7102
3017 13th St
Gulfport, MS 39501
Phone (228) 831-0050
257 Davis Ave
Ste B
Pass Christian, MS 39571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A2920 | MS | Yes |
Addresses
Primary practice location
3017 13TH St
Gulfport, MS 39501-1833
Mailing address
1204 Pine Cone Dr
Gautier, MS 39553-2353
Phone (228) 218-1373
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.