MID-SOUTH HEARING, LLC (NPI# 1487847323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487847323 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH HEARING, LLC |
| Other Organization Name | MIRACLE-EAR HEARING AID CENTER |
| Practice Address |
2021 Greystone Sq Jackson TN 38305-3576 |
| Mailing Address |
888 County Road 115 New Albany MS 38652-9518 |
| Practice Telephone | 7316683165 |
| Practice Fax Number | 7316689860 |
| Mailing Telephone | 7316683165 |
| Mailing Fax Number | 7316689860 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | BOBBY RICHARD HARDY (OWNER/MANAGER) |
| Authorized Official Telephone | 7316683165 |
| Authorized Official Credential | H.I.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 658 | TN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 1B4080841 | 01 |
| Other Name | Type Code |
|---|---|
| Miracle-Ear Hearing Aid Center | Doing Business As Name - Organization |
| Street Address |
2021 GREYSTONE SQ |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205492592 | Beth A Elmore | Hearing Instrument Specialist | 2021 Greystone Sq, Jackson, TN 38305-3576 | 2019-05-13 |
| 1346658820 | Lynn Cole | Hearing Instrument Specialist | 2021 Greystone Sq, Jackson, TN 38305-3576 | 2014-07-28 |
| 1649584897 | Bobby Richard Hardy | Hearing Instrument Specialist | 2021 Greystone Sq, Jackson, TN 38305-3576 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| 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 |
|---|---|---|---|---|
| 1063059988 | Rushton Overby | Hearing Instrument Specialist | 1625 E County Line Rd Ste 520, Jackson, MS 39211-1833 | 2019-12-10 |
| 1457859787 | Johnene Ann Gaston | Hearing Instrument Specialist | 2266 Springport Rd Unit D, Jackson, MI 49202-1454 | 2018-02-01 |
| 1437498995 | Here 4 You Hearing Cte LLC | Hearing Instrument Specialist | 2140 Robinson Rd, Suite 3, Jackson, MI 49203-3798 | 2013-02-04 |
| 1750648598 | Edward Thomas Regan | Hearing Instrument Specialist | 44 Chesterfield Dr, Jackson, NJ 08527 | 2012-04-18 |
| 1821233271 | Jeffery Wade Hatten | Hearing Instrument Specialist | 311 Water St, Suite B, Jackson, OH 45640-1354 | 2008-12-12 |
| 1356593511 | Niki Beckord | Hearing Instrument Specialist | 824 N. Wisner St, Jackson, MI 49202-3949 | 2008-10-21 |
| 1073643508 | Beckord's Inc. | Hearing Instrument Specialist | 2922 Wildwood Ave, Jackson, MI 49202-3949 | 2007-03-06 |
| 1952462335 | Gregory Paul Brotherton | Hearing Instrument Specialist | 819 S State Highway 49, 819 S State Highway 49, Jackson, CA 95642-2622 | 2006-12-12 |
| 1801453915 | Jamie Lynn Martin | Hearing Instrument Specialist | 135 Stonebridge Blvd, Jackson, TN 38305-2040 | 2019-05-23 |
| 1205492592 | Beth A Elmore | Hearing Instrument Specialist | 2021 Greystone Sq, Jackson, TN 38305-3576 | 2019-05-13 |
| Find all providers in JACKSON | ||||
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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.