NPIMap

Organization Active NPI

Activear, LLC

  • Hearing Aid Equipment
  • Albany, GA
National Provider Identifier
1992247597
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
HADE034990 Issued in GA
Legal business name
ACTIVEAR, LLC
Practice address
515 N Westover Blvd Ste C
Albany, GA 31707-2186
Phone
(229) 434-1122
Fax
(292) 245-1122
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 Miller
Title
Owner
Phone
(229) 506-3451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X HADE034990 GA Primary

Addresses

Primary practice location

515 N Westover Blvd Ste C
Albany, GA 31707-2186

Mailing address

2935 N Ashley St Ste 101
Valdosta, GA 31602-1786
Phone (229) 506-3451

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

515 N Westover Blvd
Ste C
Albany, GA 31707
Phone (229) 434-1122

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

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": "1992247597",
    "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": "229-506-3451",
            "fax_number": "229-245-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N WESTOVER BLVD STE C",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072186",
            "telephone_number": "229-434-1122",
            "fax_number": "292-245-1122"
        }
    ],
    "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": "HADE034990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, 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.