Individual provider Active NPI

Samantha G Shopovick, AU-D

  • Audiologist
  • Raleigh, NC
National Provider Identifier
1447984893
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30001998 Issued in NC
Practice address
4701 Creedmoor Rd Ste 111
Raleigh, NC 27612-4500
Phone
(919) 256-2898
Fax
(919) 573-0889
NPI assigned
Jul 12, 2022
Reactivated
Jul 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 30001998 NC Primary

Addresses

Primary practice location

4701 Creedmoor Rd Ste 111
Raleigh, NC 27612-4500

Mailing address

4701 Creedmoor Rd Ste 111
Raleigh, NC 27612-4500
Phone (919) 256-2898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212002528 NC Practitioner - Qualified Audiologist 5799167854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4701 Creedmoor Rd
Suite 111
Raleigh, NC 27612-4500
Phone (919) 256-2898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Now Hear This, Inc. Audiologist CurrentSince Nov 11, 2023 Accepting new patients
ENT and Allergy Associates of Florida, LLC PastSince Jun 3, 2025 Accepting new patients

Locations

4701 Creedmoor Rd
Ste 111
Raleigh, NC 27612
Phone (919) 256-2898

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1447984893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 CREEDMOOR RD STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124500",
            "telephone_number": "919-256-2898",
            "fax_number": "919-573-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 CREEDMOOR RD STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124500",
            "telephone_number": "919-256-2898",
            "fax_number": "919-573-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPOVICK",
        "first_name": "SAMANTHA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "AU-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "deactivation_date": "2026-07-01",
        "reactivation_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "30001998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.