Healthcare Provider Details

I. General information

NPI: 1659565935
Provider Name (Legal Business Name): GABRIEL J PITT AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1258 WASHINGTON RD
THOMSON GA
30824-7347
US

IV. Provider business mailing address

3 WINDWALK LN
SAVANNAH GA
31411-2222
US

V. Phone/Fax

Practice location:
  • Phone: 706-703-9191
  • Fax: 912-216-0212
Mailing address:
  • Phone: 912-677-5463
  • Fax: 912-296-0212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License NumberAUD3899
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License NumberAUD003780
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAUD003780
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberAUD003780
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAUD3899
License Number StateSC
# 6
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD3899
License Number StateSC
# 7
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD003780
License Number StateGA
# 8
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY2275
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberAUD3899
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: