Individual provider Active NPI

Nicholas Alan Bailey, AU.D.

  • Audiologist
  • Shallotte, NC
National Provider Identifier
1013356799
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
10964 Issued in NC
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

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4019SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Hearing Centers, Inc Audiologist CurrentSince Oct 1, 2015 Accepting new patients
Precision Audiology PLLC CurrentSince Jan 11, 2026 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.

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.

Verify at the official NPI Registry.