NPIMap

Organization Active NPI

Robert H. Baker

Doing business as Decatur Hearing Aid Service

  • Hearing Instrument Specialist
  • Clarkston, GA
National Provider Identifier
1841269818
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADE000064 Issued in GA
Legal business name
ROBERT H. BAKER
Doing business as
Decatur Hearing Aid Service
Practice address
917 N Indian Creek Dr
Clarkston, GA 30021-2245
Phone
(404) 299-1141
Fax
(404) 299-8195
NPI assigned
Mar 14, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Jeffrey H FargasonNPI 1508243817
Title
Dispenser
Phone
(404) 299-1141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X HADE000064 GA Primary

Addresses

Primary practice location

917 N Indian Creek Dr
Clarkston, GA 30021-2245

Mailing address

917 N Indian Creek Dr
P.O. Box 91
Clarkston, GA 30021-2245
Phone (404) 299-1141

Other identifiers 1

IdentifierTypeStateIssuer
000041104AMedicaidGA

Other names 1

  • Decatur Hearing Aid Service Doing business as

National Provider Directory

National Provider Directory

Locations

917 N Indian Creek Dr
Clarkston, GA 30021
Phone (404) 299-1141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1841269818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N INDIAN CREEK DR",
            "address_2": "P.O. BOX 91",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300212245",
            "telephone_number": "404-299-1141",
            "fax_number": "404-299-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N INDIAN CREEK DR",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300212245",
            "telephone_number": "404-299-1141",
            "fax_number": "404-299-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H. BAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "FARGASON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DISPENSER",
        "authorized_official_telephone_number": "404-299-1141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADE000064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000041104A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur Hearing Aid Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.