Individual provider Active NPI

Samuel James Hester, AU.D.

  • Audiologist
  • Lenoir, NC
National Provider Identifier
1104355775
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
12490 Issued in NC
Practice address
322 Mulberry St SW
Lenoir, NC 28645-5702
Phone
(828) 757-6464
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 12490 NC Primary

Addresses

Primary practice location

322 Mulberry St SW
Lenoir, NC 28645-5702

Mailing address

216 Victorian LN
Granite Falls, NC 28630-8731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106001093 NC Practitioner - Qualified Audiologist 7012273188 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Ear Nose and Throat IncGroup PAC ID 6901719434, 9 clinicians

Practice addresses (Care Compare)

1915 W Park Dr
Suite 108
North Wilkesboro, NC 28659-3777
Phone (828) 264-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hosptial, Inc Audiologist CurrentSince Jul 31, 2017 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Jul 31, 2017 Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Jul 31, 2017 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Blue Ridge Ear, Nose and Throat, Inc. CurrentSince Dec 1, 2025 Accepting new patients

Locations

870 State Farm Rd
Ste 101
Boone, NC 28607
Phone (828) 264-4545

160 River Bend Dr
Ste A
Granite Falls, NC 28630
Phone (828) 757-5042

322 Mulberry St SW
Ste C
Lenoir, NC 28645
Phone (828) 757-6464

322 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-6400

1915 W Park Dr
Ste 108
North Wilkesboro, NC 28659
Phone (336) 667-7171

Organizations & group practices 6

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1104355775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 VICTORIAN LN",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286308731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455702",
            "telephone_number": "828-757-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTER",
        "first_name": "SAMUEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "12490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.