Organization Active NPI

Lifetime Hearing Services Inc

  • Audiologist
  • Florence, SC
National Provider Identifier
1710077599
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
865 Issued in SC
Legal business name
LIFETIME HEARING SERVICES INC
Practice address
522 W Palmetto St
Florence, SC 29501-4428
Phone
(843) 662-4327
Fax
(843) 662-4395
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Dr. Lesley Sue Kirby, AUDNPI 1598721532
Title
President
Phone
(843) 662-4327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 865 SC Primary

Addresses

Primary practice location

522 W Palmetto St
Florence, SC 29501-4428

Mailing address

522 W Palmetto St
Florence, SC 29501-4428
Phone (843) 662-4327

Other identifiers 1

IdentifierTypeStateIssuer
SA0019MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130227000344 SC Part B Supplier - Clinic/Group Practice 2567617319 Receives reassigned benefits from 1 practitioner
Practice locations: Camden, SC; Cheraw, SC; Florence, SC; Hartsville, SC

National Provider Directory

National Provider Directory

Locations

2311 Broad St
Camden, SC 29020
Phone (843) 662-4327

522 W Palmetto St
Florence, SC 29501
Phone (843) 662-4327

754 W Carolina Ave
Hartsville, SC 29550
Phone (843) 662-4327

696 Medical Park Dr
Hartsville, SC 29550
Phone (843) 332-2221

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1710077599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014428",
            "telephone_number": "843-662-4327",
            "fax_number": "843-662-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014428",
            "telephone_number": "843-662-4327",
            "fax_number": "843-662-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HEARING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-662-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "SC",
            "license": "865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0019",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.