NPIMap

Organization Active NPI

Activear, LLC

  • Hearing Aid Equipment
  • Tifton, GA
National Provider Identifier
1922540525
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
HADE034972 Issued in GA
Legal business name
ACTIVEAR, LLC
Practice address
1601 US Highway 41 N
Tifton, GA 31794-3205
Phone
(229) 382-1996
Fax
(229) 245-1020
NPI assigned
Nov 14, 2016
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Mrs. Lorissa MillerNPI 1609414234
Title
Owner
Phone
(229) 506-3451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X HADE034972 GA Primary

Addresses

Primary practice location

1601 US Highway 41 N
Tifton, GA 31794-3205

Mailing address

2935 N Ashley St Ste 101
Valdosta, GA 31602-1786
Phone (229) 245-1122

National Provider Directory

National Provider Directory
Tax ID family
Activear LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

116 2nd St E
Tifton, GA 31794

1601 US Highway 41 N
Tifton, GA 31794
Phone (229) 382-1996

Practitioners & affiliated clinicians

Practitioners 2

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": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1922540525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 N ASHLEY ST STE 101",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021786",
            "telephone_number": "229-245-1122",
            "fax_number": "229-245-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 US HIGHWAY 41 N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943205",
            "telephone_number": "229-382-1996",
            "fax_number": "229-245-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVEAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LORISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-506-3451",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "GA",
            "license": "HADE034972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.