Individual provider Active NPI

Megan Lane Mathis-Webb, AUD

  • Audiologist
  • Mooresville, NC
National Provider Identifier
1275649865
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
8016 Issued in NC
Practice address
140 Gateway Blvd
Mooresville, NC 28117-5540
Phone
(704) 664-9638
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 8016 NC Primary

Addresses

Primary practice location

140 Gateway Blvd
Mooresville, NC 28117-5540

Mailing address

140 Gateway Blvd
Mooresville, NC 28117-5540
Phone (704) 664-9638

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081021000535 NC Practitioner - Qualified Audiologist 1658377866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Practice addresses (Care Compare)

140 Gateway Blvd
Mooresville, NC 28117-5540
Phone (704) 664-9638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8016NCMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Healthcare, P.a. CurrentSince Nov 15, 2010 Accepting new patients
Piedmont Healthcare, PA CurrentSince Nov 15, 2010 Accepting new patients

Locations

140 Gateway Blvd
Mooresville, NC 28117
Phone (704) 664-9638

650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1275649865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GATEWAY BLVD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175540",
            "telephone_number": "704-664-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GATEWAY BLVD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175540",
            "telephone_number": "704-664-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS-WEBB",
        "first_name": "MEGAN",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "8016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.