Edward Paul Justice, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003504 Issued in GA

Practice address

7421 Douglas Blvd
Suite F
Douglasville, GA 30135-1564

Phone

(770) 577-2360

Fax

(770) 577-2364

NPI assigned

Jan 19, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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.

• Accuquest Hearing Center, LLC

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1629261078

  Audiologist, GA

  Medicare reassignment NPD
• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  Audiologist, GA

  Medicare reassignment NPD
• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Melbourne, FL
  • NPI 1902318108
  NPD

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1790080901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 DOUGLAS BLVD",
            "address_2": "SUITE F",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351564",
            "telephone_number": "770-577-2360",
            "fax_number": "770-577-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 DOUGLAS BLVD",
            "address_2": "SUITE F",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351564",
            "telephone_number": "770-577-2360",
            "fax_number": "770-577-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "EDWARD",
        "middle_name": "PAUL",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quanella A Jordan
• Robert Jordan
• Journey'S Family Services, LLC
• Juanitas Haven
• Tanya Michelle Judkins
• K&W Care Homes
• Soccoh A Kabia, M.D.
• Kaiser Foundation Health Plan of Georgia, Inc.
• Kaiser Permanente
• Jessica Sara Kallish

• Audiologist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.