Jerry Mantooth

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

Practice address

601 Fleming St Ste B
Dalton, GA 30721-1004

Phone

(706) 226-3257

NPI assigned

Sep 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609184571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FLEMING ST STE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307211004",
            "telephone_number": "706-226-3257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4509 Hixson Pike Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373435062",
            "country_code": "US",
            "telephone_number": "423-875-2591",
            "fax_number": "423-877-3745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 E Oak St",
            "address_purpose": "LOCATION",
            "city": "East Ellijay",
            "state": "GA",
            "postal_code": "305408151",
            "country_code": "US",
            "telephone_number": "706-636-1800",
            "fax_number": "706-217-2881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTOOTH",
        "first_name": "JERRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eric R Manahan, M.D.
• Anna Manis
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• Daniel Ellis Marcadis, M.D.
• Charles David Maret, RPH
• Mark P. Elam, M.D., P.C.
• Robert Henry Marks, AGCNP
• Marlow and Marlow Investments Inc

• Hearing Instrument Specialist in Dalton, GA
• Providers in Dalton, GA by specialty
• Hearing Instrument Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.