Jordan Wines, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2091 Issued in TN

Practice address

106 E Watauga Ave
Johnson City, TN 37601-4628

Phone

(423) 928-5771

Fax

(423) 928-1424

NPI assigned

Jun 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, TN2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

East Tennessee State University Quillen College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniel R. SchumaierGroup PAC ID 8426960667, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel R. Schumaier

  • Audiologist
  • Johnson City, TN
  • NPI 1770527053
  Medicare reassignment Care Compare group NPD
• Daniel R. Schumaier

  • Audiologist
  • Kingsport, TN
  • NPI 1043335771
  NPD
• W.N.C. Ear Nose Throat Head and Neck Surgeons, PA

  • Clinic/Center
  • Asheville, NC
  • NPI 1811944689
  NPD (past)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1538737101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E WATAUGA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014628",
            "telephone_number": "423-928-5771",
            "fax_number": "423-928-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E WATAUGA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014628",
            "telephone_number": "423-928-5771",
            "fax_number": "423-928-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINES",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-11",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "2091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LICENSURE",
            "identifier": "14980",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q076394",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Steven Wilt, M.D.
• Matthew Wilton, DPT
• David Skyler Winchester, DO
• Bruce C Winegar, DO
• Matthew A Wineman
• Blake Winkle
• Johnathan Myles Winstead, M.D.
• George Beverly Winton, MD
• Jennifer C. Wisdom-Schepers, MD
• Kayla Withrow

• Audiologist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.