Active NPI
James Daniels, HIS
- Hearing Instrument Specialist
- Statesboro, GA
National Provider Identifier
1609112911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HADS000813
- Practice address
- 102 Oak St
Statesboro, GA 30458-4852 - Phone
- (912) 489-1787
- NPI assigned
- Dec 14, 2012
- Last updated
- Dec 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HADS000813 | GA | Primary |
| Hearing Instrument Specialist | 237700000X | HAD-0468 | SC |
Addresses
Primary practice location
102 Oak St
Statesboro, GA 30458-4852
Mailing address
11900 Hwy 280 E
Ellabell, GA 31308-3603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HADS000813 | GA | MD | Hearing Instrument Specialist |
| HAD-0468 | SC | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Armin Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1609112911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 HWY 280 E",
"city": "ELLABELL",
"state": "GA",
"postal_code": "313083603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 OAK ST",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584852",
"telephone_number": "912-489-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "JAMES",
"credential": "HIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-14",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "GA",
"license": "HADS000813",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "SC",
"license": "HAD-0468",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.