Atlantic Hearing – Audiologist, NPI 1184093262
Audiologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Atlantic Hearing
3840 S NOVA RD STE B1
PORT ORANGE, FL 321274244
Phone: (386) 756-8225
Fax: (386) 767-0742
Type: Mailing
1185 DUNLAWTON AVE
SUITE 103
PORT ORANGE, FL 321272905
Phone: (386) 756-8225
Fax: (386) 767-0742
Type: Mailing
263 N Causeway
New Smyrna Beach, FL 321695239
Phone: (386) 410-4399
Fax: (386) 767-0742
Type: Location
742 N Volusia Ave
Orange City, FL 327634857
Phone: (386) 218-0404
Fax: (386) 767-0742
Type: Location
2690 S Hopkins Ave Ste 2
Titusville, FL 327805053
Phone: (321) 255-8700
Fax: (321) 225-4376
Type: Location
5445 Village Dr Unit 105
Viera, FL 329556666
Phone: (321) 225-8700
Fax: (321) 225-4376
Type: Location
279 Forest Park Cir
Panama City, FL 324054920
Phone: (850) 481-8056
Fax: (850) 481-8058
Type: Location
1690 US Highway 1 S Ste B
St Augustine, FL 320846024
Phone: (904) 460-2625
Fax: (386) 767-0742
Type: Location
1400 Hand Ave Ste M
Ormond Beach, FL 321748196
Phone: (386) 673-5280
Fax: (386) 673-8618
Type: Location
1680 DUNLAWTON AVE
PORT ORANGE, FL 321274754
Phone: (386) 756-8225
Fax: (386) 767-0742
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (919 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20151110000691 | O | Clinic/Group Practice | FL | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32127)
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