Organization Active NPI

Amplified Abilities LLC

  • Hearing and Speech Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1801416227
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
AMPLIFIED ABILITIES LLC
Practice address
4107 Mayfair Ave
Chattanooga, TN 37411-5227
Phone
(423) 708-2014
NPI assigned
Apr 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
John W Smith
Title
Manager
Phone
(423) 667-1235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

4107 Mayfair Ave
Chattanooga, TN 37411-5227

Mailing address

1116 S Crest Rd
Rossville, GA 30741-1508
Phone (423) 667-1235

Other practice location 1

604 Black St
Chattanooga, TN 37405-3300
Phone (423) 708-2014

Other practice location 2

6919 Lakeshore Dr
Chattanooga, TN 37416-1077
Phone (423) 580-3219

Other identifiers 1

IdentifierTypeStateIssuer
Q059700MedicaidTN

National Provider Directory

National Provider Directory

Locations

4107 Mayfair Ave
Chattanooga, TN 37411
Phone (423) 708-2014

604 Black St
Chattanooga, TN 37405
Phone (423) 708-2014

Practitioners & affiliated clinicians

Practitioners 1

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": "1587859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1801416227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 S CREST RD",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307411508",
            "telephone_number": "423-667-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 MAYFAIR AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115227",
            "telephone_number": "423-708-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Black St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374053300",
            "country_code": "US",
            "telephone_number": "423-708-2014",
            "fax_number": "833-377-0537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6919 Lakeshore Dr",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374161077",
            "country_code": "US",
            "telephone_number": "423-580-3219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMPLIFIED ABILITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-26",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-667-1235"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q059700",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.