Provider Demographics
NPI:1912190661
Name:AMERICAN HEARING CENTERS
Entity Type:Organization
Organization Name:AMERICAN HEARING CENTERS
Other - Org Name:DBA: HEARING DOCTORS OF GEORGIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JIOVANNE
Authorized Official - Middle Name:N
Authorized Official - Last Name:HUGHART
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:770-996-2861
Mailing Address - Street 1:181 UPPER RIVERDALE RD SW
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-4919
Mailing Address - Country:US
Mailing Address - Phone:770-996-2861
Mailing Address - Fax:770-991-1604
Practice Address - Street 1:181 UPPER RIVERDALE RD SW
Practice Address - Street 2:SUITE 1A
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-4919
Practice Address - Country:US
Practice Address - Phone:770-996-2861
Practice Address - Fax:770-991-1604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0937231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000515292HMedicaid
GA000887158AMedicaid
GA000761318AMedicaid
GA000515292GMedicaid
GA000664782AMedicaid
GA000887169AMedicaid