Active NPI
Carolina Hearing Group Inc
- Audiologist
- Raleigh, NC
National Provider Identifier
1215020102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- CAROLINA HEARING GROUP INC
- Practice address
- 805 Spring Forest Rd
Ste 800
Raleigh, NC 27609-9123 - Phone
- (919) 874-0338
- Fax
- (919) 874-0339
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brad Wayne Baldwin, AUD.
- Title
- President Owner
- Phone
- (919) 782-7112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
805 Spring Forest Rd
Ste 800
Raleigh, NC 27609-9123
Mailing address
805 Spring Forest Rd
Ste 800
Raleigh, NC 27609-9123
Phone (919) 874-0338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080110000515 | NC | Part B Supplier - Clinic/Group Practice | 0840370219 |
Receives reassigned benefits from 3 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Durham, NC; Raleigh, NC |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271203200000",
"number": "1215020102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SPRING FOREST RD",
"address_2": "STE 800",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276099123",
"telephone_number": "919-874-0338",
"fax_number": "919-874-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 SPRING FOREST RD",
"address_2": "STE 800",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276099123",
"telephone_number": "919-874-0338",
"fax_number": "919-874-0339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA HEARING GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2010-04-14",
"status": "A",
"authorized_official_last_name": "BALDWIN",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "919-782-7112",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "AUD."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Carolina Footprint Technology Inc
- Carolina Functional Neurology Center
- Carolina Gynecology PA
- Carolina Gynecology PA
- Carolina Health Care Services Inc
- Carolina Hearing Group Inc
- Carolina Heart Center, PA
- Carolina Homecare Solution Inc
- Carolina Immediate Care , P.a.
- Carolina Kids Pediatric Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.