Organization Active NPI

Carolina Audiology Associates

  • Audiologist
  • Rocky Mount, NC
National Provider Identifier
1477898922
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1021 Issued in NC
Legal business name
CAROLINA AUDIOLOGY ASSOCIATES
Practice address
4065 Capital Dr
Rocky Mount, NC 27804-3123
Phone
(252) 977-4327
Fax
(252) 977-4329
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Dr. David L Mize Sr., AU.D.NPI 1598956740
Title
Audiologist/President
Phone
(252) 977-4327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 1021 NC Primary

Addresses

Primary practice location

4065 Capital Dr
Rocky Mount, NC 27804-3123

Mailing address

4065 Capital Dr
Rocky Mount, NC 27804-3123
Phone (252) 977-4327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130307000458 NC Part B Supplier - Clinic/Group Practice 2860647369 Receives reassigned benefits from 2 practitioners
Practice locations: Rocky Mount, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1477898922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 CAPITAL DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043123",
            "telephone_number": "252-977-4327",
            "fax_number": "252-977-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 CAPITAL DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043123",
            "telephone_number": "252-977-4327",
            "fax_number": "252-977-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA AUDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUDIOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "252-977-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NC",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.

Verify at the official NPI Registry.