Charles Gordon Marx, M. S., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A0454 Issued in MS

Practice address

118 College Dr # 5092
Hattiesburg, MS 39406-0001

Phone

(601) 266-6227

Fax

(601) 266-5224

NPI assigned

Oct 6, 2009

Last updated

Oct 6, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• The University of Southern Mississippi

  dba University of Southern Mississippi Applied Health Services

  • Audiologist
  • Hattiesburg, MS
  • NPI 1629395769
  NPD (past)

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1821323015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DR # 5092",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394060001",
            "telephone_number": "601-266-6227",
            "fax_number": "601-266-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DR # 5092",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394060001",
            "telephone_number": "601-266-6227",
            "fax_number": "601-266-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARX",
        "first_name": "CHARLES",
        "middle_name": "GORDON",
        "credential": "M. S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A0454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Martin, DPT
• Ryan James Martin, D.O.
• Tandy L Martin, CNP
• Terri M Martin, CRNA
• William Allen Martin, D.O.
• Mary Bethune Alternative School
• Katharyn Mary
• Cori Marzoni
• Jennifer Reeder Mascagni, C.F.N.P.
• James Maurice Mask, MS

• Audiologist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Audiologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.