Tina Medley Proffit, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

2101001685 Issued in VA

Practice address

8052 Carrollton Pike
Galax, VA 24333-6087

Phone

(276) 236-0778

Fax

(276) 236-8600

NPI assigned

Sep 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anderson Audiology

  • Audiologist-Hearing Aid Fitter
  • Dublin, VA
  • NPI 1629168414
  Medicare reassignment NPD
• Hearing Aid Sales & Service, Inc

  • Audiologist-Hearing Aid Fitter
  • Christiansburg, VA
  • NPI 1437586419
  NPD

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1699769638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8052 CARROLLTON PIKE",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243336087",
            "telephone_number": "276-236-0778",
            "fax_number": "276-236-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8052 CARROLLTON PIKE",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243336087",
            "telephone_number": "276-236-0778",
            "fax_number": "276-236-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3607 S Main St",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240607014",
            "country_code": "US",
            "telephone_number": "540-381-6967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 W Lee Hwy",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243821708",
            "country_code": "US",
            "telephone_number": "276-228-0866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Cleburne Blvd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "VA",
            "postal_code": "240844435",
            "country_code": "US",
            "telephone_number": "540-674-4889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROFFIT",
        "first_name": "TINA",
        "middle_name": "MEDLEY",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "6346",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001359",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "NC1129",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101001685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul C. Liebrecht, M.D., P.C.
• Peace of Mind Counseling Service
• Arthur Samuel Pemberton, M.D.
• Physical Therapy Services
• Sandra Faye Popplewell, NP
• Progressive Health Systems, LLC
• Prospect Park Counseling Services
• Mark A Pruitt, FNP
• Robert E Pryor, MD
• PT Solutions, LLC

• All providers in Galax, VA
• Audiologist-Hearing Aid Fitter in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.