Individual provider Active NPI

Michelle H Hartzog

  • Audiologist
  • Roxboro, NC
National Provider Identifier
1073034278
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
783 Doctors CT Ste C
Roxboro, NC 27573-4575
Phone
(336) 597-9200
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

783 Doctors CT Ste C
Roxboro, NC 27573-4575

Mailing address

5603 Falkirk Dr
Durham, NC 27712-1025
Phone (919) 482-9847

Other practice location 1

3116 North Duke St
Duke Medical Plaza Entry 2
Durham, NC 27704
Phone (919) 220-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170918003620 NC Practitioner - Qualified Audiologist 5799059531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of North Carolina at Chapel Hill School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

1838 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-7415
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

4102 N Roxboro St
Durham, NC 27704-2122
Phone (919) 684-8111

5726 Fayetteville Rd
Suite 102
Durham, NC 27713-6296
Phone (919) 684-8111

783 Doctors CT
Suite C
Roxboro, NC 27573-4575
Phone (919) 684-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Private Diagnostic Clinic, PLLC Past Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

4102 N Roxboro St
Durham, NC 27704
Phone (919) 595-2000

3116 N Duke St
Durham, NC 27704
Phone (919) 620-5333

3116 N Duke St
#2
Durham, NC 27704
Phone (919) 220-2020

3116 N Duke St
Ste 25A
Durham, NC 27704
Phone (919) 220-2020

783 Doctors Ct
Ste C
Roxboro, NC 27573
Phone (336) 597-9200

911 Ridge Rd
Ste A
Roxboro, NC 27573
Phone (336) 597-2826

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1073034278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 FALKIRK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277121025",
            "telephone_number": "919-482-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 DOCTORS CT STE C",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734575",
            "telephone_number": "336-597-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3116 North Duke St",
            "address_2": "Duke Medical Plaza Entry 2",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27704",
            "country_code": "US",
            "telephone_number": "919-220-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTZOG",
        "first_name": "MICHELLE",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.