Ryan Waide Hankla, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD004150 Issued in GA

Practice address

1705 Boulevard SQ Ste B
Waycross, GA 31501-8032

Phone

(912) 284-9200

Fax

(912) 284-9887

NPI assigned

Sep 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hearcare AudiologyGroup PAC ID 2769470491, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hearcare Audiology

  • Audiologist
  • Waycross, GA
  • NPI 1063556272
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1841774957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BOULEVARD SQ STE B",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315018032",
            "telephone_number": "912-284-9200",
            "fax_number": "912-284-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 BOULEVARD SQ STE B",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315018032",
            "telephone_number": "912-284-9200",
            "fax_number": "912-284-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKLA",
        "first_name": "RYAN",
        "middle_name": "WAIDE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD004150",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE NUMBER",
            "identifier": "AUD004150",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keri Tuten Hale, NP
• Anna Hamilton
• Candice Y Hampton
• Hanger Prosthetics & Orthotics, Inc. (Hanger Clinic)
• James Waide Hankla, AU.D., CCC-A
• Tiffany Roe Hankla, AU.D.
• Harborview Waycross, LLC (Harborview Satilla)
• Tiffany Leigh Harkleroad, NP
• Amy Marie Harper, CRNA
• Lina Heath Harper, M.D.

• Audiologist in Waycross, GA
• Providers in Waycross, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.