Edward Paul Justice, CCC-A
NPI 1790080901ActiveIndividual· Audiologist· Douglasville, GA
Audiologist (CCC-A) in Douglasville, Georgia, licensed in GA, with an NPI issued in January 2011. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1790080901 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCC-A |
| Sole proprietor | No |
| NPI issued | Jan 19, 2011 |
| Last updated in NPPES | Jan 19, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | AUD003504 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (GA) |
|---|
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