NPIMap

Individual provider Active NPI

Nicholas Brikash Pitt

  • Hearing Instrument Specialist
  • Winder, GA
National Provider Identifier
1619466273
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADS000930 Issued in GA
Practice address
59 W Candler St
Winder, GA 30680-2558
Phone
(706) 850-9660
NPI assigned
May 8, 2018
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HADS000930 GA Primary

Addresses

Primary practice location

59 W Candler St
Winder, GA 30680-2558

Mailing address

PO Box 6686
Athens, GA 30604-6686
Phone (706) 850-9660

Other practice location 1

1060 Gaines School Rd Ste A4C
Athens, GA 30605-3100
Phone (706) 850-9660

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

LicenseStateTypeSpecialty
HADS000930GAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Audiology, Inc. Current Accepting new patients
Optimal Hearing Systems, LLC PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 11

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1619466273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6686",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306046686",
            "telephone_number": "706-850-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 W CANDLER ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802558",
            "telephone_number": "706-850-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Gaines School Rd Ste A4C",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306053100",
            "country_code": "US",
            "telephone_number": "706-850-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITT",
        "first_name": "NICHOLAS",
        "middle_name": "BRIKASH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS000930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.