Individual provider Active NPI

Gabriel J Pitt, AU.D.

  • Audiologist
  • Thomson, GA
National Provider Identifier
1659565935
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003780 Issued in GA
Practice address
1258 Washington Rd
Thomson, GA 30824-7347
Phone
(706) 703-9191
Fax
(912) 216-0212
NPI assigned
Aug 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Supplier Audiologist 231HA2500X AUD3899 SC
Assistive Technology Supplier Audiologist 231HA2500X AUD003780 GA
Audiologist-Hearing Aid Fitter 237600000X AUD003780 GA
Assistive Technology Practitioner Audiologist 231HA2400X AUD003780 GA
Audiologist-Hearing Aid Fitter 237600000X AUD3899 SC
Audiologist 231H00000X AUD3899 SC
Audiologist 231H00000X AUD003780 GA Primary
Audiologist 231H00000X AY2275 FL
Assistive Technology Practitioner Audiologist 231HA2400X AUD3899 SC

Addresses

Primary practice location

1258 Washington Rd
Thomson, GA 30824-7347

Mailing address

3 Windwalk LN
Savannah, GA 31411-2222
Phone (912) 677-5463

Other practice location 1

209 S Tallahassee St Ofc
Hazlehurst, GA 31539-6025
Phone (912) 386-1023

Other practice location 2

125A Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 419-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080905000229 GA Practitioner - Qualified Audiologist 7911073523 Reassigns benefits to 2 organizations
I20241031001388 SC Practitioner - Qualified Audiologist 7911073523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360Care LLCGroup PAC ID 2860708666, 5 clinicians
Stinson Mobile Aud Ga LLCGroup PAC ID 6608110390, 8 clinicians

Practice addresses (Care Compare)

1258 Washington Rd
Thomson, GA 30824-7347
Phone (706) 703-9191

1703 Laurel St
Columbia, SC 29201-2660
Phone 50224424205441

40 Technology Pkwy S
Suite 300
Norcross, GA 30092-2924
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD003780GAMDAudiologist-Hearing Aid Fitter
AUD3899SCMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Stinson Mobile Aud Ga LLC Audiologist CurrentSince May 13, 2023 Accepting new patients
360Care LLC Audiologist CurrentSince Aug 27, 2024 Accepting new patients
360Care LLC Audiologist Current Accepting new patients
Wayne SJC Medical Group, LLC Audiologist Past Accepting new patients
Optimal Hearing Systems Audiologist-Hearing Aid Fitter Past Accepting new patients
Coastal Ear Nose & Throat, LLC PastSince Jan 3, 2022 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

1703 Laurel St
Columbia, SC 29201
Phone 24852821166

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDDICA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1659565935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WINDWALK LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112222",
            "telephone_number": "912-677-5463",
            "fax_number": "912-296-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 WASHINGTON RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308247347",
            "telephone_number": "706-703-9191",
            "fax_number": "912-216-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 S Tallahassee St Ofc",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "GA",
            "postal_code": "315396025",
            "country_code": "US",
            "telephone_number": "912-386-1023",
            "fax_number": "912-296-0212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125A Victory Dr",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304013234",
            "country_code": "US",
            "telephone_number": "478-419-0404",
            "fax_number": "912-296-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITT",
        "first_name": "GABRIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "SC",
            "license": "AUD3899",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "GA",
            "license": "AUD003780",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD003780",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "GA",
            "license": "AUD003780",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "SC",
            "license": "AUD3899",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "AUD3899",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003780",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2275",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "SC",
            "license": "AUD3899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.