SOUTHERN HOME HEARING LLC. (NPI# 1356969786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356969786 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HOME HEARING LLC. |
| Practice Address |
1829 Lakeview Rd Statesboro GA 30461-8093 |
| Mailing Address |
Po Box 897 Brooklet GA 30415-0897 |
| Practice Telephone | 9123189936 |
| Mailing Telephone | 9123189936 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | JAMES REGINAL HARRISON (OWNER/PROVIDER) |
| Authorized Official Telephone | 9123189936 |
| Authorized Official Credential | HAD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332S00000X | Hearing Aid Equipment | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | HEARING AID DESPENSOR | HADS001003 | 01 |
| Street Address |
1829 LAKEVIEW RD |
| City | STATESBORO |
| State | GA |
| Zip Code | 30461-8093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629542048 | James Harrison | Hearing Instrument Specialist | 1829 Lakeview Rd, Statesboro, GA 30461-8093 | 2019-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427592765 | Scarlet Gabrielle Shumate | Student in an Organized Health Care Education/Training Program | 1332 Southern Dr., Statesboro, GA 30461 | 2016-12-06 |
| 1164972642 | Olivia Anne Chester | Occupational Therapist | 5968 Lakeview Road, Statesboro, GA 30461 | 2016-10-10 |
| 1760672653 | Dawn Miller | Social Worker | 9017 Oakfield Drive, Statesboro, GA 30461 | 2007-07-27 |
| 1619167608 | Timothy Rollins Ussery | Specialist/Technologist | 16741 Hwy 67 South, Suite 1-a, Statesboro, GA 30461 | 2007-07-26 |
| 1245444579 | Chen-wen Shih | Obstetrics & Gynecology | 4002 Denton Loop, Statesboro, GA 30461 | 2007-05-09 |
| 1215149497 | A. Deo Klein, M.d., P.C. | Specialist | 1161 Sarahlyn Lane, Ste. A, Statesboro, GA 30461 | 2007-05-03 |
| 1568480051 | Robert William Cushner | Podiatrist | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-07-17 |
| 1356619613 | Statesboro Ambulatory Surgery Center, Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2011-12-01 |
| 1497883243 | Jennifer Lea Williamson | Physician Assistant | 1012 Bermuda Run, Statesboro, GA 30461 | 2007-03-02 |
| 1467569376 | Statesboro Ambul Surg Ctr Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-08-24 |
| Find all providers in zip 30461 | ||||
| Taxonomy Code | 332S00000X |
| Grouping | Suppliers |
| Classification | Hearing Aid Equipment |
| The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639485535 | Armin Inc | Hearing Aid Equipment | 102 Oak St, Statesboro, GA 30458-4852 | 2010-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283101 | Schumacher Hearing Centers, Inc. | Hearing Aid Equipment | 2315 Oak Rd Ste 110, Snellville, GA 30078-2394 | 2020-10-19 |
| 1295395705 | Costco Wholesale Corporation | Hearing Aid Equipment | 40 Fischer Crossings Dr., Sharpsburg, GA 30277 | 2019-06-17 |
| 1043798960 | Mhc Hearing, LLC | Hearing Aid Equipment | 2459 Us Highway 17 Ste B, Richmond Hill, GA 31324-3767 | 2018-08-02 |
| 1073003091 | Northland Hearing Center Inc | Hearing Aid Equipment | 646 Red Bud Rd Ne, Calhoun, GA 30701-1963 | 2018-05-15 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1477040657 | Stevenson Hearing Healthcare, LLC | Hearing Aid Equipment | 145 N Marietta Pkwy Ne Ste E, Marietta, GA 30060-8023 | 2018-04-13 |
| 1922540525 | Activear, LLC | Hearing Aid Equipment | 116 2nd St E, Tifton, GA 31794-4408 | 2016-11-14 |
| 1518409127 | Activear, LLC | Hearing Aid Equipment | 3470 N Valdosta Rd, Ste B, Valdosta, GA 31602-1049 | 2016-11-14 |
| 1871035592 | North Georgia Hearing Aid Specialist LLC | Hearing Aid Equipment | 281 Young Harris St, Ste C, Blairsville, GA 30512-3776 | 2016-11-11 |
| 1972951317 | Northeast Georgia Hearing Aid Center LLC | Hearing Aid Equipment | 165 Towne Center Pkwy, Hoschton, GA 30548-2211 | 2016-05-26 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.