Active NPI
Nicholas Alan Bailey, AU.D.
- Audiologist
- Shallotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 10964
- Practice address
- 110 Shallotte Crossing Pkwy Ste 2
Shallotte, NC 28470-8116 - Phone
- (910) 712-9838
- Fax
- (910) 406-5370
- NPI assigned
- Jun 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 10964 | NC | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 10964 | NC |
Addresses
Primary practice location
110 Shallotte Crossing Pkwy Ste 2
Shallotte, NC 28470-8116
Mailing address
PO Box 273
Shallotte, NC 28459-0273
Phone (910) 712-9838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151103003205 | NC | Practitioner - Qualified Audiologist | 8921318957 | Reassigns benefits to 2 organizations |
| I20190104002433 | SC | Practitioner - Qualified Audiologist | 8921318957 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4019 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Hearing Centers, Inc | Audiologist | Current | Accepting new patients |
| Precision Audiology PLLC | Current | Accepting new patients | |
| Coastal Hearing Centers, Inc | Past | Accepting new patients | |
| Providence Anesthesiology Associates, P.a. | Past | Accepting new patients |
Locations
110 Shallotte Crossing Pkwy
Ste 2
Shallotte, NC 28470
Phone (910) 712-9838
2294 Ocean Hwy W
Supply, NC 28462
Phone (910) 368-4162
302 Liberty St
Whiteville, NC 28472
Phone (910) 642-3675
412 Main St
North Myrtle Beach, SC 29582
Phone (843) 281-0014
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Hearing and Speech Clinic/Center
- Little River, SC
- NPI 1629631650
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 Shallotte Crossing Pkwy
Suite 2
Shallotte, NC 28470-8116
Phone (910) 712-9838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1013356799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 273",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284590273",
"telephone_number": "910-712-9838",
"fax_number": "910-406-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SHALLOTTE CROSSING PKWY STE 2",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284708116",
"telephone_number": "910-712-9838",
"fax_number": "910-406-5370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "NICHOLAS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-17",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "10964",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": "10964",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.