1932091741 NPI number — OAK MOUNTAIN HEARING ASSOCIATES, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932091741 NPI number — OAK MOUNTAIN HEARING ASSOCIATES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OAK MOUNTAIN HEARING ASSOCIATES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932091741
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PELHAM TOWNE CENTER
Provider Second Line Business Mailing Address:
389 HUNTLEY PARKWAY
Provider Business Mailing Address City Name:
PELHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35124
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-922-5574
Provider Business Mailing Address Fax Number:
205-685-2984

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PELHAM TOWNE CENTER 389 HUNTLEY PARKWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PELHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-922-5574
Provider Business Practice Location Address Fax Number:
205-685-2984
Provider Enumeration Date:
07/16/2025

Additional Information

Authorized Official

Authorized Official Last Name:
BURNETT
Authorized Official First Name:
LEIGH
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER/AUDIOLOGIST
Authorized Official Telephone Number:
205-922-5574

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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