{
"Npi": {
"NPI": "1851743496",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ADAMS HEARING LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "91 E SAVANNAH ST",
"SecondLineMailingAddress": "P.O.BOX 1150",
"MailingAddressCityName": "CLAYTON",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30525-5498",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "706-782-0109",
"MailingAddressFaxNumber": "706-782-6508",
"FirstLinePracticeLocationAddress": "91 E SAVANNAH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLAYTON",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30525-5498",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "706-782-0109",
"PracticeLocationAddressFaxNumber": "706-782-6508",
"EnumerationDate": "07/07/2016",
"LastUpdateDate": "07/07/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADAMS",
"AuthorizedOfficialFirstName": "CHRISTOPHER",
"AuthorizedOfficialMiddleName": "J.",
"AuthorizedOfficialTitle": "OWNER, HEARING AID DISPENSER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "706-782-0109",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "HADE000822",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}