Individual provider Active NPI

Adam Nickles, AUD

  • Audiologist-Hearing Aid Fitter
  • Tega Cay, SC
National Provider Identifier
1568151454
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
1180 Stonecrest Blvd Ste 104
Tega Cay, SC 29708-6639
Phone
(803) 547-4327
Fax
(803) 547-4329
NPI assigned
May 5, 2023
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU
Audiologist-Hearing Aid Fitter 237600000X NU Primary

Addresses

Primary practice location

1180 Stonecrest Blvd Ste 104
Tega Cay, SC 29708-6639

Mailing address

1180 Stonecrest Blvd Ste 105
Fort Mill, SC 29708-6639
Phone (803) 547-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230731004086 SC Practitioner - Qualified Audiologist 6507227097 Reassigns benefits to 1 organization
I20230822003251 NC Practitioner - Qualified Audiologist 6507227097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Family Hearing Center LLCGroup PAC ID 5294041224, 3 clinicians

Practice addresses (Care Compare)

1180 Stonecrest Blvd
Suite 104
Tega Cay, SC 29708-6555
Phone (803) 547-4327

703 W S Main St
Suite D
Waxhaw, NC 28173-6919
Phone (803) 547-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7940SCMDPharmacotherapy Pharmacist

Organizations & group practices 1

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": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1568151454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 STONECREST BLVD STE 105",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086639",
            "telephone_number": "803-547-4327",
            "fax_number": "803-547-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 STONECREST BLVD STE 104",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297086639",
            "telephone_number": "803-547-4327",
            "fax_number": "803-547-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLES",
        "first_name": "ADAM",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-05",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tega Cay, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.