Individual provider Active NPI

Justin Castleberry, HIS

  • Hearing Instrument Specialist
  • Warner Robins, GA
National Provider Identifier
1972928992
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADS000871 Issued in GA
Practice address
212 Hospital Dr
Warner Robins, GA 31088-4207
Phone
(229) 630-4800
Fax
(478) 922-9120
NPI assigned
Feb 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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 HADS000871 GA Primary

Addresses

Primary practice location

212 Hospital Dr
Warner Robins, GA 31088-4207

Mailing address

212 Hospital Dr
Warner Robins, GA 31088-4207
Phone (229) 630-4800

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

State licenses

LicenseStateTypeSpecialty
HADS000871GAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Hearing Aid Center LLC CurrentSince Feb 6, 2022 Accepting new patients

Locations

3321 Northside Dr
Macon, GA 31210
Phone (478) 254-6244

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1972928992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HOSPITAL DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310884207",
            "telephone_number": "229-630-4800",
            "fax_number": "478-922-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HOSPITAL DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310884207",
            "telephone_number": "229-630-4800",
            "fax_number": "478-922-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLEBERRY",
        "first_name": "JUSTIN",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS000871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.