Active NPI
Carolina Hearing Group Inc
- Audiologist
- Raleigh, NC
National Provider Identifier
1467556472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- CAROLINA HEARING GROUP INC
- Practice address
- 4201 Lake Boone TRL
Ste 105
Raleigh, NC 27607-7511 - Phone
- (919) 782-7112
- Fax
- (919) 789-9560
- NPI assigned
- Sep 11, 2006
- Last updated
- Aug 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brad Wayne Baldwin, AUD
- Title
- President Owner
- Phone
- (919) 782-7112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL
Ste 105
Raleigh, NC 27607-7511
Mailing address
4201 Lake Boone TRL
Ste 105
Raleigh, NC 27607-7511
Phone (919) 782-7112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Carolina Hearing Group Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Audiologist
- Albemarle, NC
- NPI 1255435947
-
- Audiologist
- Durham, NC
- NPI 1881752525
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Audiologist
- Raleigh, NC
- NPI 1730283748
-
- Audiologist
- Raleigh, NC
- NPI 1841858610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438905600000",
"number": "1467556472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL",
"address_2": "STE 105",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077511",
"telephone_number": "919-782-7112",
"fax_number": "919-789-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL",
"address_2": "STE 105",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077511",
"telephone_number": "919-782-7112",
"fax_number": "919-789-9560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA HEARING GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-11",
"last_updated": "2015-08-07",
"status": "A",
"authorized_official_last_name": "BALDWIN",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "919-782-7112",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"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 Aug 7, 2015; 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.