Active NPI
Mark R Carroll, M.S., CCC-A
- Audiologist
- Huntsville, AL
National Provider Identifier
1366534745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5798
- Practice address
- 927 Franklin St SE
Suite 100
Huntsville, AL 35801-4306 - Phone
- (256) 536-9300
- Fax
- (256) 535-9032
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5798 | AL | Primary |
Addresses
Primary practice location
927 Franklin St SE
Suite 100
Huntsville, AL 35801-4306
Mailing address
PO Box 18066
Huntsville, AL 35804-8066
Phone (256) 536-9300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640003550 | Other | RAILROAD RETIREMENT | |
| 51079118 | Other | AL | BLUECROSS BLUESHIELD |
| 009801230 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Alabama School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4245 Balmoral Dr SW
Suite 204
Huntsville, AL 35801-6497
Phone (256) 489-9992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5798 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll Hearing Associates, LLC | Audiologist | Current | Accepting new patients |
| North Alabama ENT Associates, P.C. | Past | Accepting new patients | |
| North Alabama ENT Associates | Past | Accepting new patients |
Locations
333 Whitesport Dr SW
Ste 302
Huntsville, AL 35801
Phone (256) 489-9992
4245 Balmoral Dr SW
Ste 204
Huntsville, AL 35801
Phone (256) 489-9992
Organizations & group practices 3
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.
-
- Audiologist
- Huntsville, AL
- NPI 1417210725
-
- Otolaryngology Physician
- Huntsville, AL
- NPI 1437279601
-
- Otolaryngology Physician
- Madison, AL
- NPI 1215057492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1366534745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18066",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358048066",
"telephone_number": "256-536-9300",
"fax_number": "256-535-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 FRANKLIN ST SE",
"address_2": "SUITE 100",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014306",
"telephone_number": "256-536-9300",
"fax_number": "256-535-9032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "MARK",
"middle_name": "R",
"credential": "M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "5798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD RETIREMENT",
"identifier": "640003550",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "51079118",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009801230",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.