Organization Active NPI

Pee Dee Hearing Center

  • Audiologist
  • Florence, SC
National Provider Identifier
1255545406
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
PEE DEE HEARING CENTER
Practice address
153 E N B Baroody St
Florence, SC 29506-2523
Phone
(843) 662-7802
Fax
(843) 662-5601
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Adrienne Huggins
Title
Billing/Credentialing Specialist
Phone
(843) 662-7802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

153 E N B Baroody St
Florence, SC 29506-2523

Mailing address

PO Box 804
Florence, SC 29503-0804
Phone (843) 662-7802

Other identifiers 3

IdentifierTypeStateIssuer
284802MedicaidSC
1487957304OtherOKBCBS, HUMANA, UNITED, CIGNA, AETNA, TRICARE,
1487957304MedicaidOK

Other names 1

  • Pee Dee Speech and Hearing Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230927004298 SC Part B Supplier - Clinic/Group Practice 0244492395 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

153 E N B Baroody St
Florence, SC 29506
Phone (843) 662-7802

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1255545406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295030804",
            "telephone_number": "843-662-7802",
            "fax_number": "843-662-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E N B BAROODY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062523",
            "telephone_number": "843-662-7802",
            "fax_number": "843-662-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "HUGGINS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "843-662-7802"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284802",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, HUMANA, UNITED, CIGNA, AETNA, TRICARE,",
            "identifier": "1487957304",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487957304",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pee Dee Speech and Hearing",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.