CENTRAL GEORGIA PROFESSIONAL HEARING SERVICES, LLC (NPI# 1023542511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023542511 |
| Entity Type | Organization |
| Organization Name | CENTRAL GEORGIA PROFESSIONAL HEARING SERVICES, LLC |
| Practice Address |
1719 Russell Pkwy Bldg 300 Warner Robins GA 31088-5763 |
| Practice Telephone | 4789230106 |
| Practice Fax Number | 4789225211 |
| Mailing Telephone | 4789230106 |
| Mailing Fax Number | 4789225211 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | DR. MELINDA SHEA WHITE (AUDIOLOGIST/CEO) |
| Authorized Official Telephone | 4789229222 |
| Authorized Official Credential | AUD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
AUD003181 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
1719 RUSSELL PKWY BLDG 300 |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-5763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386690972 | Alain Daniel Toland | Otolaryngology | 1719 Russell Pkwy, Bldg 300, Suite 301, Warner Robins, GA 31088-5763 | 2006-05-25 |
| 1760922355 | Linda Vanosdol | Nurse Practitioner | 1719 Russell Pkwy, Suite 700, Warner Robins, GA 31088-5763 | 2017-03-01 |
| 1952751497 | Conswalis L. Northcutt | Nurse Practitioner | 1719 Russell Pkwy, Bldg 700, Warner Robins, GA 31088-5763 | 2016-06-15 |
| 1124344403 | Srijana Ranjit | Internal Medicine | 1719 Russell Pkwy, Warner Robins, GA 31088-5763 | 2010-04-12 |
| 1285864769 | Rebeka Leann Mathis | Physician Assistant | 1719 Russell Pkwy, Bldg. 300, Warner Robins, GA 31088-5763 | 2009-07-20 |
| 1568611424 | Erin Tapley Burch | Nurse Practitioner | 1719 Russell Pkwy, Bldg 300, Warner Robins, GA 31088-5763 | 2008-09-16 |
| 1104042753 | Natalie P Gibbs | Audiologist | 1719 Russell Pkwy, Bldg 300, Warner Robins, GA 31088-5763 | 2007-04-18 |
| 1972655215 | Ent Surgical Associates of Central Ga, PC | Otolaryngology | 1719 Russell Pkwy, Bldg 300, Ste 301, Warner Robins, GA 31088-5763 | 2007-01-17 |
| 1952490302 | Deborah J Bessinger | Physician Assistant | 1719 Russell Pkwy, Bldg 700, Warner Robins, GA 31088-5763 | 2006-10-12 |
| 1568473767 | Houston Primary Care, Inc. | Internal Medicine | 1719 Russell Pkwy, Bldg. 700, Warner Robins, GA 31088-5763 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 231HA2400X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| Specialization | Assistive Technology Practitioner |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548520752 | Vital Sounds LLC | Audiologist | 220 Bluewater Ct, College Park, GA 30349-3065 | 2012-05-22 |
| 1043401318 | Audiological Consultants of Atlanta, Inc. | Audiologist | 875 Mansell Rd, Suite B2, Roswell, GA 30076-1503 | 2007-08-02 |
| 1881198976 | Lisa Rush Sampson | Audiologist | 111 Fieldstone Dr Ste 106, Milledgeville, GA 31061-7108 | 2018-03-22 |
| 1023490182 | Erica Pennesi | Audiologist | 1991 N Williamsburg Dr, Suite A, Decatur, GA 30033-3500 | 2015-06-25 |
| 1508037227 | Audiology Hears PC | Audiologist | 6130 Southard Trce, Cumming, GA 30040-6475 | 2008-03-20 |
| 1134310402 | Audiological Consultants of Atlanta, Inc. | Audiologist | 2424 Roswell Rd, Suite 6, Marietta, GA 30062-4759 | 2007-08-02 |
| 1053356451 | Audiological Consultants of Atlanta-buckhead, Inc. | Audiologist | 2140 Peachtree Rd Nw, Suite 350, Atlanta, GA 30309-1314 | 2006-06-19 |
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on CENTRAL GEORGIA PROFESSIONAL HEARING SERVICES, LLC.
| 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.