Individual provider Active NPI

Velma Deters

  • Hearing Instrument Specialist
  • Gainesville, GA
National Provider Identifier
1922779198
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Practice address
956 Dawsonville Hwy Ste a
Gainesville, GA 30501-2615
Phone
(770) 536-5552
NPI assigned
Sep 27, 2021
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Me Pivot Holdings LLC Hearing Instrument Specialist PastSince Feb 9, 2020 Accepting new patients
Me Pivot Holdings, LLC Hearing Instrument Specialist PastSince Oct 5, 2021 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.

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.

Verify at the official NPI Registry.