Active NPI
Velma Deters
- Hearing Instrument Specialist
- Gainesville, GA
National Provider Identifier
1922779198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 956 Dawsonville Hwy Ste a
Gainesville, GA 30501-2615 - Phone
- (770) 536-5552
- NPI assigned
- Sep 27, 2021
- Last updated
- Sep 27, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | NU | Primary |
Addresses
Primary practice location
956 Dawsonville Hwy Ste a
Gainesville, GA 30501-2615
Mailing address
150 S 5TH St Ste 2300
Minneapolis, MN 55402-4223
Phone (763) 268-4286
Other practice location 1
182 S Main St
Cleveland, GA 30528-1402
Phone (706) 865-0224
Other names 1
- Annette Deters
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.miracle-ear.com/ClevelandGA | ||
| CONNECT URL | www.miracle-ear.com/GainesvilleGA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Me Pivot Holdings LLC | Hearing Instrument Specialist | Past | Accepting new patients |
| Me Pivot Holdings, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Miracle-Ear Center
- Hearing Instrument Specialist
- Cleveland, GA
- NPI 1194357335
-
- Hearing Instrument Specialist
- Statesboro, GA
- NPI 1396409876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1922779198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S 5TH ST STE 2300",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554024223",
"telephone_number": "763-268-4286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 DAWSONVILLE HWY STE A",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012615",
"telephone_number": "770-536-5552"
}
],
"practiceLocations": [
{
"address_1": "182 S Main St",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "GA",
"postal_code": "305281402",
"country_code": "US",
"telephone_number": "706-865-0224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DETERS",
"first_name": "VELMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.miracle-ear.com/ClevelandGA",
"affiliation": "N",
"address_1": "182 S Main St",
"city": "Cleveland",
"state": "GA",
"country_code": "US",
"postal_code": "305281402",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.miracle-ear.com/GainesvilleGA",
"affiliation": "N",
"address_1": "956 Dawsonville Hwy Ste A",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305012615",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANNETTE",
"last_name": "DETERS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.