NPIMap

Individual provider Active NPI

Stephanie Jackson Rogers, MA, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Hattiesburg, MS
National Provider Identifier
1730389990
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
A3163 Issued in MS
Practice address
3901 Hardy St
Suite 100
Hattiesburg, MS 39402-1636
Phone
(601) 261-5995
Fax
(601) 261-5335
NPI assigned
Jul 24, 2007
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X A9340 LA
Audiologist-Hearing Aid Fitter 237600000X 1021A AL
Audiologist-Hearing Aid Fitter 237600000X A3163 MS Primary

Addresses

Primary practice location

3901 Hardy St
Suite 100
Hattiesburg, MS 39402-1636

Mailing address

PO Box 17167
Suite 100
Hattiesburg, MS 39404-7167
Phone (601) 261-5995

Other practice location 1

11010 Highway 49 Ste 6
Gulfport, MS 39503-4191
Phone (228) 832-5353

Other practice location 2

1903 Mission 66 Ste E
Vicksburg, MS 39180-3711
Phone (601) 636-2269

Other practice location 3

1817 Highway 11 N Ste A
Picayune, MS 39466-2033
Phone (601) 798-0550

Other practice location 4

2693 Bienville Blvd Ste 5
Ocean Springs, MS 39564-3106
Phone (228) 872-6006

Other practice location 5

433 Broad St Ste A
Columbia, MS 39429-3404
Phone (601) 736-4002

Other practice location 6

1417 23rd Ave
Meridian, MS 39301-4024
Phone (601) 693-6626

Other practice location 7

6345 Cottage Hill Rd Ste H
Mobile, AL 36609-3114
Phone (251) 665-2778

Other practice location 8

201 E Layfair Dr Ste 210
Flowood, MS 39232-7666
Phone (601) 824-0570

Other practice location 9

1104 W 1st St Ste 9
Laurel, MS 39440-4357
Phone (601) 426-9628

Other identifiers 1

IdentifierTypeStateIssuer
512I640023OtherMSPTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@audibelms.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000371 MS Practitioner - Qualified Audiologist 9436121092 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4535LAMDProfessional Counselor
A9340LAMDAudiologist-Hearing Aid Fitter
4179ALMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Hearing Healthcare CurrentSince Dec 30, 2016 Accepting new patients
Rogers Hearing Healthcare Inc. Past Accepting new patients
Billedeaux Hearing Center, LLC Past Accepting new patients
Doctors Hearing Center LLC Xxxii Past Accepting new patients

Locations

2693 Bienville Blvd
#5
Ocean Springs, MS 39564
Phone (228) 872-6006

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, 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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1730389990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17167",
            "address_2": "SUITE 100",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394047167",
            "telephone_number": "601-261-5995",
            "fax_number": "601-261-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HARDY ST",
            "address_2": "SUITE 100",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021636",
            "telephone_number": "601-261-5995",
            "fax_number": "601-261-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11010 Highway 49 Ste 6",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395034191",
            "country_code": "US",
            "telephone_number": "228-832-5353",
            "fax_number": "228-832-5305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1903 Mission 66 Ste E",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391803711",
            "country_code": "US",
            "telephone_number": "601-636-2269",
            "fax_number": "601-636-1997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1817 Highway 11 N Ste A",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394662033",
            "country_code": "US",
            "telephone_number": "601-798-0550",
            "fax_number": "601-798-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2693 Bienville Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395643106",
            "country_code": "US",
            "telephone_number": "228-872-6006",
            "fax_number": "228-872-6004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 Broad St Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MS",
            "postal_code": "394293404",
            "country_code": "US",
            "telephone_number": "601-736-4002",
            "fax_number": "601-736-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1417 23rd Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014024",
            "country_code": "US",
            "telephone_number": "601-693-6626",
            "fax_number": "601-693-6676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6345 Cottage Hill Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366093114",
            "country_code": "US",
            "telephone_number": "251-665-2778",
            "fax_number": "251-665-2779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Layfair Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392327666",
            "country_code": "US",
            "telephone_number": "601-824-0570",
            "fax_number": "601-824-0490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104 W 1st St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394404357",
            "country_code": "US",
            "telephone_number": "601-426-9628",
            "fax_number": "601-426-9628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "STEPHANIE",
        "middle_name": "JACKSON",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "A9340",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AL",
            "license": "1021A",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MS",
            "license": "A3163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "512I640023",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@audibelms.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3901 Hardy St",
            "address_2": "Suite 100",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394021636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.