Individual provider Active NPI

Andrea Bucker Overton, AUD

  • Audiologist
  • Chapel Hill, NC
National Provider Identifier
1295115152
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
11432 Issued in NC
Practice address
2226 Nelson Hwy
Suite 102
Chapel Hill, NC 27517-8923
Phone
(984) 974-4479
Fax
(919) 490-5818
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 11432 NC Primary

Addresses

Primary practice location

2226 Nelson Hwy
Suite 102
Chapel Hill, NC 27517-8923

Mailing address

2226 Nelson Hwy
Suite 102
Chapel Hill, NC 27517-8923
Phone (984) 974-4479

Other names 1

  • Andrea Lauren Bucker Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215001111 NC Practitioner - Qualified Audiologist 4385093335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina Hospitals at Chapel HillGroup PAC ID 4486561008, 110 clinicians

Practice addresses (Care Compare)

115 Kildaire Park Dr
Suite 308
Cary, NC 27518-8144
Phone (984) 974-2141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11432NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Nov 8, 2023 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Audiologist CurrentSince Nov 8, 2023 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

115 Kildaire Park Dr
Ste 308
Cary, NC 27518
Phone (919) 784-7460

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

2226 Nelson Hwy
Ste 102
Chapel Hill, NC 27517
Phone (984) 974-2113

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183

Organizations & group practices 5

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1295115152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 NELSON HWY",
            "address_2": "SUITE 102",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178923",
            "telephone_number": "984-974-4479",
            "fax_number": "919-490-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 NELSON HWY",
            "address_2": "SUITE 102",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178923",
            "telephone_number": "984-974-4479",
            "fax_number": "919-490-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTON",
        "first_name": "ANDREA",
        "middle_name": "BUCKER",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "11432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BUCKER",
            "middle_name": "LAUREN",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

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

Verify at the official NPI Registry.