Active NPI
Mary Ann Allen, MS, CCC-A
- Audiologist
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5263
- Practice address
- 1132 N Church St Ste 200
Greensboro, NC 27401-1040 - Phone
- (336) 358-4283
- Fax
- (336) 335-3160
- NPI assigned
- Jul 17, 2008
- Last updated
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5263 | NC | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 978 | NC |
Addresses
Primary practice location
1132 N Church St Ste 200
Greensboro, NC 27401-1040
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-1331
Other practice location 1
518 S Van Buren Rd
Suite 8
Eden, NC 27288-5033
Phone (336) 627-8513
Other names 1
- Mary Ann Caldwell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1132 N Church St
Suite 200
Greensboro, NC 27401-1040
Phone (336) 379-9445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5263 | NC | MD | Audiologist |
| 978 | NC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Audiologist | Current | Accepting new patients |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Cornerstone Health Care LLC | Past | Accepting new patients |
Locations
1132 N Church St
Ste 200
Greensboro, NC 27401
Phone (336) 358-4268
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atrium Health Wake Forest Baptist Pediatrics - Greensboro
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
dba Atrium Health Wake Forest Baptist Audiology - Greensboro
- Audiologist
- Greensboro, NC
- NPI 1336405471
-
dba Atrium Health Levine Children's Pediatrics Northwest
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
-
- Clinical Medical Laboratory
- Conover, NC
- NPI 1871159145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1245494335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-1331",
"fax_number": "336-272-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 N CHURCH ST STE 200",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011040",
"telephone_number": "336-358-4283",
"fax_number": "336-335-3160"
}
],
"practiceLocations": [
{
"address_1": "518 S Van Buren Rd",
"address_2": "Suite 8",
"address_purpose": "LOCATION",
"city": "Eden",
"state": "NC",
"postal_code": "272885033",
"country_code": "US",
"telephone_number": "336-627-8513",
"fax_number": "336-623-4794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "MS, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "5263",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": "978",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "CALDWELL",
"middle_name": "ANN",
"credential": "MS, CCC-A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.