Individual provider Active NPI

Gwendolyn J Sheehy

  • Audiologist
  • Florence, SC
National Provider Identifier
1043880073
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
153 E N B Baroody St
Florence, SC 29506-2523
Phone
(843) 662-7802
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

153 E N B Baroody St
Florence, SC 29506-2523

Mailing address

413 Graham St
Florence, SC 29501-4736
Phone (513) 886-2568

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL peedeespeechandhearing.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208000472 NC Practitioner - Qualified Audiologist 1850763442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Queen City Ear Nose and Throat PLLC CurrentSince Nov 1, 2022 Accepting new patients
Pee Dee Hearing Center Audiologist PastSince Jul 4, 2021 Accepting new patients

Locations

8924 Blakeney Professional Dr
Charlotte, NC 28277
Phone (704) 703-1080

1994 Wellness Blvd
Ste 210
Monroe, NC 28110
Phone (704) 703-1080

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1043880073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 GRAHAM ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014736",
            "telephone_number": "513-886-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E N B BAROODY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062523",
            "telephone_number": "843-662-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHY",
        "first_name": "GWENDOLYN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "peedeespeechandhearing.com",
            "affiliation": "N",
            "endpointDescription": "Audiology clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "153 E N B Baroody St",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295062523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.

Verify at the official NPI Registry.