Organization Active NPI

Carolina Hearing Group Inc

  • Audiologist
  • Raleigh, NC
National Provider Identifier
1215020102
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
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

Updated by the provider on Apr 14, 2010

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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

NPI 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

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.

Verify at the official NPI Registry.