WAITS HEARING CENTER, LLC (NPI# 1144647090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144647090 |
| Entity Type | Organization |
| Organization Name | WAITS HEARING CENTER, LLC |
| Practice Address |
101 Yorktown Dr Ste 201 Fayetteville GA 30214-1501 |
| Mailing Address |
Po Box 7181 Wilmington DE 19803-0181 |
| Practice Telephone | 7704610043 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | VINCENT RUSSOMAGNO (OWNER) |
| Authorized Official Telephone | 8887207980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AUD001514 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
101 YORKTOWN DR STE 201 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568807741 | Tequilla L Pryor | Pediatrics | 101 Yorktown Dr Ste 201, Fayetteville, GA 30214-1501 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114408226 | Tashia S Gadlin | Audiologist | 1179 N College Ave, Fayetteville, AR 72703-1955 | 2018-08-27 |
| 1841786506 | Rachel Garrette | Audiologist | 1260 Highway 54 W Ste 203, Fayetteville, GA 30214-4513 | 2018-07-06 |
| 1265950406 | Jordan Sgroi | Audiologist | 544 Towne Dr, Fayetteville, NY 13066-1331 | 2017-09-08 |
| 1881030732 | Dustin Matthew Richards | Audiologist | 2630 E Citizens Dr Ste 7, Fayetteville, AR 72703-4797 | 2013-05-20 |
| 1831465608 | Gn Hearing Care Corp | Audiologist | 4310 Medical Center Dr Ste 310, Fayetteville, NY 13066-6625 | 2012-03-27 |
| 1043523459 | Carolyn Hornberger Dunn | Audiologist | 1240 Highway 54 W Ste 710, Fayetteville, GA 30214-4565 | 2010-07-15 |
| 1043543788 | Byron Douglas Owens | Audiologist | 2508 Colgate Drive, Fayetteville, NC 28304-3709 | 2009-09-14 |
| 1619108982 | Iris Braswell Phillips | Audiologist | 7300 South Raeford Road, Fayetteville, NC 28304 | 2009-08-04 |
| 1346422284 | Tawnia Hope Smith | Audiologist | Cape Fear Valley Health System, 1638 Owen Dr., Fayetteville, NC 28302 | 2007-12-03 |
| 1972726578 | University of Arkansas | Audiologist | 606 N Razorback Rd, Fayetteville, AR 72701-3110 | 2007-04-11 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.