Organization Active NPI

Advanced Hearing and Balance LLC

  • Audiologist
  • Hattiesburg, MS
National Provider Identifier
1982025201
Registry record updated Jan 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A3381 Issued in MS
Legal business name
ADVANCED HEARING AND BALANCE LLC
Practice address
5128 Old Highway 11 Ste 8
Hattiesburg, MS 39402-6234
Phone
(601) 450-0280
NPI assigned
Jan 5, 2014
Last updated
Jan 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2014

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

Authorized official

Name
Allison C McCoy
Title
Office Manager
Phone
(985) 687-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A3381 MS Primary

Addresses

Primary practice location

5128 Old Highway 11 Ste 8
Hattiesburg, MS 39402-6234

Mailing address

5128 Old Highway 11 Ste 8
Hattiesburg, MS 39402-6234
Phone (601) 450-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150205000979 MS Part B Supplier - Clinic/Group Practice 5294050662 Receives reassigned benefits from 7 practitioners
Practice locations: Hattiesburg, MS

National Provider Directory

National Provider Directory

Locations

1211 Highway 98 Byp
Columbia, MS 39429

5128 Old Highway 11
Ste 8
Hattiesburg, MS 39402
Phone (601) 450-0280

11 Professional Pkwy
Petal, MS 39465

Practitioners & affiliated clinicians

Practitioners 7

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": "1388880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388880000000",
    "number": "1982025201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 OLD HIGHWAY 11 STE 8",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026234",
            "telephone_number": "601-450-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 OLD HIGHWAY 11 STE 8",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026234",
            "telephone_number": "601-450-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEARING AND BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-05",
        "last_updated": "2014-01-05",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "985-687-4755"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A3381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.