Lorissa Miller, HEARING AID DISPENSE

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HADS001031 Issued in GA

Practice address

2935 N Ashley St Ste 101
Valdosta, GA 31602-1786

Phone

(229) 245-1122

NPI assigned

Dec 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Activear, LLC

  • Hearing Aid Equipment
  • Valdosta, GA
  • NPI 1518409127
  NPD (past) Authorized official

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1609414234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 N ASHLEY ST STE 101",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021786",
            "telephone_number": "229-245-1122",
            "fax_number": "229-245-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 N ASHLEY ST STE 101",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021786",
            "telephone_number": "229-245-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LORISSA",
        "credential": "HEARING AID DISPENSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS001031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ActivEar@att.net",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "ActivEar, LLC",
            "address_1": "3470 N Valdosta Rd Ste B",
            "city": "Valdosta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316021050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miller Company Inc
• Angela Miller
• Dallas Mark Miller, M.D.
• Ja'la Miller
• Kristen Miller
• Michael A Miller, BC-HIS, HAS
• Ronnisha Miller, NIP
• Susan Miller, MED., CCC-SLP
• William Harvey Miller, M.D.
• Jessica Hope Millican, LMFT

• Hearing Instrument Specialist in Valdosta, GA
• Providers in Valdosta, 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 Sep 28, 2023; 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.