Active NPI
William Warren Perrine, M.S., CCC-A
- Audiologist-Hearing Aid Fitter
- Statesboro, GA
National Provider Identifier
1841253713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 3170
- Practice address
- 106 Proctor St
Statesboro, GA 30458-1351 - Phone
- (912) 489-6422
- Fax
- (912) 489-5866
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 3170 | GA | Primary |
Addresses
Primary practice location
106 Proctor St
Statesboro, GA 30458-1351
Mailing address
106 Proctor St
Statesboro, GA 30458-1351
Phone (912) 489-6422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080618000603 | GA | Practitioner - Qualified Audiologist | 3870506793 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3170 | GA | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345593600000",
"number": "1841253713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 PROCTOR ST",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304581351",
"telephone_number": "912-489-6422",
"fax_number": "912-489-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PROCTOR ST",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304581351",
"telephone_number": "912-489-6422",
"fax_number": "912-489-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRINE",
"first_name": "WILLIAM",
"middle_name": "WARREN",
"name_prefix": "Mr.",
"credential": "M.S., CCC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2012-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "GA",
"license": "3170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; 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.