Active NPI
Shirley Staniland
- Hearing Instrument Specialist
- Bogart, GA
National Provider Identifier
1740525823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HADS000697
- Practice address
- 3701 Atlanta Hwy
Ste 1
Bogart, GA 30622-2247 - Phone
- (706) 354-6770
- Fax
- (706) 354-6908
- NPI assigned
- Nov 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HADS000697 | GA | Primary |
Addresses
Primary practice location
3701 Atlanta Hwy
Ste 1
Bogart, GA 30622-2247
Mailing address
2090 Dunwoody Club Dr
Ste 106-246
Atlanta, GA 30350-5434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HADS000697 | GA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1740525823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 DUNWOODY CLUB DR",
"address_2": "STE 106-246",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303505434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 ATLANTA HWY",
"address_2": "STE 1",
"city": "BOGART",
"state": "GA",
"postal_code": "306222247",
"telephone_number": "706-354-6770",
"fax_number": "706-354-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANILAND",
"first_name": "SHIRLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-30",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "GA",
"license": "HADS000697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bogart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.