Troy Mahan

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS2210 Issued in FL

Practice address

4006 3Rd St S
Jacksonville Beach, FL 32250-5848

Phone

(904) 247-4327

Fax

(904) 247-4328

NPI assigned

Nov 6, 2018

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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clear Ear Hearing of Northeast Florida, LLC.

  dba Clear Ear Hearing Systems

  • Hearing Aid Equipment
  • Orange Park, FL
  • NPI 1720472814
  NPD (past) Authorized official
• Southeastern Hearing Inc.

  dba Clear Ear

  • Hearing Instrument Specialist
  • Jacksonville, FL
  • NPI 1912042136
  NPD (past) Authorized official
• Southeastern Hearing, Inc

  • Hearing Aid Equipment
  • Jacksonville Beach, FL
  • NPI 1902345085
  NPD (past) Authorized official

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1649748815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505848",
            "telephone_number": "904-247-4327",
            "fax_number": "904-247-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505848",
            "telephone_number": "904-247-4327",
            "fax_number": "904-247-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9398 Arlington Expy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322258213",
            "country_code": "US",
            "telephone_number": "904-725-5590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1871 Wells Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320732350",
            "country_code": "US",
            "telephone_number": "904-579-4814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "TROY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS2210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J0655",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luanne Luby, M.S., BCBA
• Luxottica of America Inc. (Lenscrafters #855)
• Lyerly Baptist Inc
• Janet Macejak
• Catherine Mackilligan, CCC-SLP
• Gina-Marie Nolan Malejko, ARNP
• Khosrow Maleki, M.D.
• Michele Malnove, LMHC
• Kimberly S Manek, MD
• Mardi Eden Mangus, DPT

• Hearing Instrument Specialist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.