Active NPI
Earsource Technologies LLC
- Audiologist
- Statesboro, GA
National Provider Identifier
1811552276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- EARSOURCE TECHNOLOGIES LLC
- Doing business as
- EarSource Technologies LLC
- Practice address
- 301 Florence Ave
Statesboro, GA 30458-5138 - Phone
- (912) 764-6150
- Fax
- (912) 489-5866
- NPI assigned
- May 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Warren Perrine, CCC-A
- Title
- President
- Phone
- (912) 764-6150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
301 Florence Ave
Statesboro, GA 30458-5138
Mailing address
301 Florence Ave
Statesboro, GA 30458-5138
Phone (912) 764-6150
Other names 1
- EarSource Technologies LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556668800000",
"number": "1811552276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 FLORENCE AVE",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304585138",
"telephone_number": "912-764-6150",
"fax_number": "912-489-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 FLORENCE AVE",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304585138",
"telephone_number": "912-764-6150",
"fax_number": "912-489-5866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EARSOURCE TECHNOLOGIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-01",
"last_updated": "2019-05-01",
"status": "A",
"authorized_official_last_name": "PERRINE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "WARREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-764-6150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "CCC-A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EarSource Technologies LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Statesboro, GA
- Deborah Susan Dzurinko, MPT
- E Plus Statesboro Cancer Care, LLC (South Georgia Center for Cancer Care)
- Eagle Eye Care
- Cole Samuel Eakin, MATRN, ATC
- Ear, Nose, & Throat Associates of Savannah, PC
- East Ga Regional Eye Center
- East Ga Regional Eye Center
- East Ga Specialty Pharmacy
- East Georgia Cancer Center
- East Georgia Cancer Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.