Active NPI
Hearing Diagnostics and Solutions
- Audiologist-Hearing Aid Fitter
- Columbus, GA
National Provider Identifier
1912169590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AUD003725
- Legal business name
- HEARING DIAGNOSTICS AND SOLUTIONS
- Practice address
- 4215 Woodruff Rd
Columbus, GA 31904-6889 - Phone
- (706) 604-5332
- Fax
- (706) 565-4647
- NPI assigned
- Jun 25, 2008
- 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. Willie D. Dade, AU.D.
- Title
- Audiologist
- Phone
- (706) 587-8289
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AUD003725 | GA | Primary |
Addresses
Primary practice location
4215 Woodruff Rd
Columbus, GA 31904-6889
Mailing address
1157 Leaf Brook Dr
Midland, GA 31820-5515
Phone (706) 604-5332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 628850698A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1912169590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 LEAF BROOK DR",
"city": "MIDLAND",
"state": "GA",
"postal_code": "318205515",
"telephone_number": "706-604-5332",
"fax_number": "706-565-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 WOODRUFF RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046889",
"telephone_number": "706-604-5332",
"fax_number": "706-565-4647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARING DIAGNOSTICS AND SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "DADE",
"authorized_official_first_name": "WILLIE",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "706-587-8289",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "GA",
"license": "AUD003725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "628850698A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.