Individual provider Active NPI

Melissa J Palmer, M.A., CCC-A

  • Audiologist
  • Clayton, NC
National Provider Identifier
1255322954
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4289 Issued in NC
Practice address
922 NC Highway 42 W
Clayton, NC 27520-7434
Phone
(919) 241-7734
Fax
(919) 879-8625
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 863 NC
Audiologist 231H00000X 4289 NC Primary

Addresses

Primary practice location

922 NC Highway 42 W
Clayton, NC 27520-7434

Mailing address

922 NC Highway 42 W
Clayton, NC 27520-7434
Phone (919) 241-7734

Other identifiers 8

IdentifierTypeStateIssuer
#01629OtherNCBCBS
863OtherNCNC HEARING AID DEALERS AN
2723803OtherNCAETNA
7614311OtherNCAETNA
9008165OtherNCPHCS
A6876OtherNCMEDCOST
4289OtherNCBOARD OF EXAMINERS SPEECH
7411162MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000167 NC Practitioner - Qualified Audiologist 3678513348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clayton Audiology PLLCGroup PAC ID 8022496280, 4 clinicians

Practice addresses (Care Compare)

922 Veterans Pkwy
Clayton, NC 27520-7434
Phone (919) 241-7734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
863NCMDProfessional Counselor
4289NCMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clayton Audiology PLLC Audiologist CurrentSince Feb 2, 2022 Accepting new patients
Hearing Care Center Audiologist Past Accepting new patients

Locations

922 Veterans Pkwy
Clayton, NC 27520
Phone (919) 241-7734

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1255322954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 NC HIGHWAY 42 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207434",
            "telephone_number": "919-241-7734",
            "fax_number": "919-879-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 NC HIGHWAY 42 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207434",
            "telephone_number": "919-241-7734",
            "fax_number": "919-879-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "863",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "4289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "#01629",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEARING AID DEALERS AN",
            "identifier": "863",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2723803",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7614311",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9008165",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A6876",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF EXAMINERS SPEECH",
            "identifier": "4289",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411162",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.