JERRY MANTOOTH (NPI# 1609184571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609184571 |
| Entity Type | Individual |
| Full Name | JERRY MANTOOTH |
| Practice Address |
601 Fleming St Ste B Dalton GA 30721-1004 |
| Mailing Address |
8800 Se Sunnyside Rd Ste 300n Clackamas OR 97015-5703 |
| Practice Telephone | 7062263257 |
| Mailing Telephone | 2812862999 |
| Mailing Fax Number | 5126074893 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| Y | 237700000X | Hearing Instrument Specialist | GA | Speech, Language and Hearing Service Providers | |
| N | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4509 Hixson Pike Ste 2, Hixson, TN 373435062 | 4238752591 | 4238773745 |
| 34 E Oak St, East Ellijay, GA 305408151 | 7066361800 | 7062172881 |
| Street Address |
601 FLEMING ST STE B |
| City | DALTON |
| State | GA |
| Zip Code | 30721-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750608261 | Northland Hearing Centers Inc | Hearing Instrument Specialist | 601 Fleming St Ste B, Dalton, GA 30721-1004 | 2010-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750608261 | Northland Hearing Centers Inc | Hearing Instrument Specialist | 601 Fleming St Ste B, Dalton, GA 30721-1004 | 2010-04-23 |
| 1609030782 | Raymond C Woitkowski | Hearing Instrument Specialist | 86 Yvonne Dr, Dalton, MA 01226 | 2008-07-17 |
| 1346781135 | Kasi Amanda Runion | Hearing Instrument Specialist | 1102 W Waugh St, Dalton, GA 30720-8769 | 2017-03-14 |
| 1922545730 | The Hearing Group, LLC | Hearing Instrument Specialist | 1102 W Waugh St, Dalton, GA 30720-8769 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041923 | Savannah Schneider | Hearing Instrument Specialist | 1255 Friendship Rd Ste 110, Braselton, GA 30517-5612 | 2020-10-23 |
| 1831701101 | Farrah Guest | Hearing Instrument Specialist | 7367 Spout Springs Rd Ste 105, Flowery Branch, GA 30542-5519 | 2020-08-18 |
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1336758531 | Morgan Renee Mcdermott | Hearing Instrument Specialist | 2424 Roswell Rd Ste 140, Marietta, GA 30062-4719 | 2020-07-24 |
| 1962010090 | Caleb D Barnes | Hearing Instrument Specialist | 401 Mall Blvd Ste 104, Savannah, GA 31406-4862 | 2020-07-15 |
| 1720696875 | Meagan S Groves | Hearing Instrument Specialist | 6783 Veterans Pkwy Bldg 4300, Columbus, GA 31909-3254 | 2020-07-15 |
| 1255954723 | Rashia Sherman | Hearing Instrument Specialist | 602 Eagles Landing Pkwy, Stockbridge, GA 30281-5096 | 2020-05-19 |
| 1740812981 | Me Pivot Holdings LLC | Hearing Instrument Specialist | 956a Dawsonville Hwy Ste 302, Gainesville, GA 30501-2619 | 2020-02-05 |
| 1467091900 | Kaitlynn Hufstetler | Hearing Instrument Specialist | 6600 Sugarloaf Pkwy Ste 800, Duluth, GA 30097-4346 | 2020-01-02 |
| 1871139683 | Kristen Pike | Hearing Instrument Specialist | 4 Coosawattee Ave Sw Ste A, Rome, GA 30165-3561 | 2019-11-27 |
| Find all providers with the same taxonomy | ||||
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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.