Active NPI
Sadie Coleman Hardison, AU.D.
- Audiologist
- Jacksonville, NC
National Provider Identifier
1023569514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 12407
- Practice address
- 241 Freedom Way
Jacksonville, NC 28544-1418 - Phone
- (910) 219-8080
- Fax
- (910) 219-8128
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY 2090 | FL | |
| Speech-Language Pathologist | 235Z00000X | 12407 | NC | |
| Audiologist | 231H00000X | 12407 | NC | Primary |
Addresses
Primary practice location
241 Freedom Way
Jacksonville, NC 28544-1418
Mailing address
PO Box 68
Pollocksville, NC 28573-0068
Phone (910) 219-8080
Other names 1
- Sadie Bright Coleman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12407 | NC | MD | Mental Health Counselor |
| AY 2090 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| ENT and Allergy Associates of Florida, LLC | Past | Accepting new patients |
Locations
700 University Blvd
Galveston, TX 77550
Phone (281) 338-0829
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
200 Blossom St
Fl 8
Webster, TX 77598
Phone (281) 338-0829
Organizations & group practices 2
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1023569514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"city": "POLLOCKSVILLE",
"state": "NC",
"postal_code": "285730068",
"telephone_number": "910-219-8080",
"fax_number": "910-219-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 FREEDOM WAY",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285441418",
"telephone_number": "910-219-8080",
"fax_number": "910-219-8128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDISON",
"first_name": "SADIE",
"middle_name": "COLEMAN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY 2090",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "12407",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "12407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SADIE",
"last_name": "COLEMAN",
"middle_name": "BRIGHT",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.