Individual provider Active NPI

Stephanie Lynne Galloway, AU.D.

  • Audiologist
  • Fuquay-Varina, NC
National Provider Identifier
1073769527
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
9908 Issued in NC
Practice address
7629 Purfoy Road
Suite 109
Fuquay-Varina, NC 27526-9550
Phone
(919) 762-0358
Fax
(919) 762-0359
NPI assigned
Aug 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 9908 NC Primary

Addresses

Primary practice location

7629 Purfoy Road
Suite 109
Fuquay-Varina, NC 27526-9550

Mailing address

7629 Purfoy Rd
Suite 109
Fuquay-Varina, NC 27526-9550
Phone (919) 851-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120821000416 NC Practitioner - Qualified Audiologist 8820159239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7626 Purfoy Rd
Suite 109
Fuquay Varina, NC 27526-8930
Phone (919) 762-0358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1524TNMDProfessional Counselor
9908NCMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Audiology Associates, PLLC Audiologist CurrentSince Jun 5, 2012 Accepting new patients
Assured Audiology & Hearing Solutions CurrentSince Nov 18, 2013 Accepting new patients
Tennessee Ear, Nose & Throat Consultants, PC Audiologist Past Accepting new patients

Locations

115 Parkway Office Ct
Ste 100
Cary, NC 27518
Phone (704) 360-4788

7629 Purfoy Rd
Ste 109
Fuquay Varina, NC 27526
Phone (919) 762-0358

7626 Purfoy Rd
Ste 109
Fuquay-Varina, NC 27526
Phone (919) 762-0358

Organizations & group practices 3

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": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1073769527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 PURFOY RD",
            "address_2": "SUITE 109",
            "city": "FUQUAY-VARINA",
            "state": "NC",
            "postal_code": "275269550",
            "telephone_number": "919-851-3800",
            "fax_number": "919-851-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 PURFOY ROAD",
            "address_2": "SUITE 109",
            "city": "FUQUAY-VARINA",
            "state": "NC",
            "postal_code": "275269550",
            "telephone_number": "919-762-0358",
            "fax_number": "919-762-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "STEPHANIE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "9908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay-Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.