Individual provider Active NPI

Sandra K Royle-Tabak, M.A., CCC-A

  • Audiologist
  • Morehead City, NC
National Provider Identifier
1477727337
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5261NC Issued in NC
Practice address
4725 Country Club Rd
Morehead City, NC 28557-6218
Phone
(252) 247-3257
Fax
(252) 247-1076
NPI assigned
Apr 22, 2008
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5261NC NC Primary
Hearing Instrument Specialist 237700000X
Audiologist-Hearing Aid Fitter 237600000X

Addresses

Primary practice location

4725 Country Club Rd
Morehead City, NC 28557-6218

Mailing address

PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 247-3257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000531 NC Practitioner - Qualified Audiologist 2163598608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians

Practice addresses (Care Compare)

137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 637-9298

4218 Arendell St
Morehead City, NC 28557-2866
Phone (252) 247-3257

532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
57.39
Promoting interoperability
68
Improvement activities
40
Cost
77.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5261NCNCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Current Accepting new patients
Carolinaeast Physicians CurrentSince Jan 1, 2015 Accepting new patients
Carolinaeast Physicians CurrentSince Jan 1, 2015 Accepting new patients
Carolinaeast Physicians Past Accepting new patients

Locations

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

4218 Arendell St
Morehead City, NC 28557
Phone (252) 247-3257

4725 Country Club Rd
Morehead City, NC 28557
Phone (252) 247-3257

3110 Wellons Blvd
New Bern, NC 28562
Phone (252) 638-2515

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1477727337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-247-3257",
            "fax_number": "252-247-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 COUNTRY CLUB RD",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285576218",
            "telephone_number": "252-247-3257",
            "fax_number": "252-247-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYLE-TABAK",
        "first_name": "SANDRA",
        "middle_name": "K",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "5261NC",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.