Individual provider Active NPI

Sherryl Ann Pelkey, AUD

  • Audiologist
  • Burlington, NC
National Provider Identifier
1104864545
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4125 Issued in NC
Practice address
4030 Oaks Professional Pkwy Ste 201
Burlington, NC 27215-8491
Phone
(336) 226-0660
Fax
(336) 227-6327
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4125 NC Primary

Addresses

Primary practice location

4030 Oaks Professional Pkwy Ste 201
Burlington, NC 27215-8491

Mailing address

PO Box 2
Burlington, NC 27216-0002
Phone (336) 226-0660

Other identifiers 3

IdentifierTypeStateIssuer
1104864545OtherNCBCBS
856OtherNCNC HEARING AID DEALERS BD
7413048MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080927000263 NC Practitioner - Qualified Audiologist 3870660590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Florida College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamance Ear Nose and Throat LLP 13 clinicians

Practice addresses (Care Compare)

4030 Oaks Professional Pkwy
Suite 201
Burlington, NC 27215-8491
Phone (336) 226-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4125NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Ear Nose and Throat, LLP Audiologist CurrentSince Oct 1, 2008 Accepting new patients
Byrnett Surgical Associates PLLC PastSince Sep 6, 2020 Accepting new patients

Locations

1248 Huffman Mill Rd
Ste 200
Burlington, NC 27215
Phone (336) 226-0660

4030 Oaks Professional Pkwy
Ste 201
Burlington, NC 27215
Phone (336) 226-0660

3940 Arrowhead Blvd
Ste 210
Mebane, NC 27302
Phone (336) 226-8000

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1104864545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272160002",
            "telephone_number": "336-226-0660",
            "fax_number": "336-227-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 OAKS PROFESSIONAL PKWY STE 201",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158491",
            "telephone_number": "336-226-0660",
            "fax_number": "336-227-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELKEY",
        "first_name": "SHERRYL",
        "middle_name": "ANN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "4125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1104864545",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEARING AID DEALERS BD",
            "identifier": "856",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7413048",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.