Active NPI
Emma Maxwell, M.A., FAAA
- Audiologist
- Clyde, NC
National Provider Identifier
1598930265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 12538
- Practice address
- 61 Haywood Park Drive
Clyde, NC 28721-7212 - Phone
- (828) 627-1950
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD003759 | GA | |
| Audiologist | 231H00000X | 12538 | NC | Primary |
Addresses
Primary practice location
61 Haywood Park Drive
Clyde, NC 28721-7212
Mailing address
61 Haywood Park Drive Suite B
Clyde, NC 28721
Phone (678) 642-6421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12538 | NC | MD | Dentist |
| AUD003759 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Audiology, Inc. | Audiologist | Current | Accepting new patients |
Locations
61 Haywood Park Dr
Ste B
Clyde, NC 28721
Phone (828) 627-1950
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 and National Provider Directory roles.
-
- Audiologist
- Clyde, NC
- NPI 1548485576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506643200000",
"number": "1598930265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 HAYWOOD PARK DRIVE SUITE B",
"city": "CLYDE",
"state": "NC",
"postal_code": "28721",
"telephone_number": "678-642-6421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 HAYWOOD PARK DRIVE",
"city": "CLYDE",
"state": "NC",
"postal_code": "287217212",
"telephone_number": "828-627-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "EMMA",
"name_prefix": "Mrs.",
"credential": "M.A., FAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2017-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003759",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "12538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clyde, NC
- Susan Taylor Marks, LCSW
- Rebecca L Mashburn, OT
- Michael Jason Masters, MD
- Michael Mattfeld, PT
- Robin Dempsey Matthews, MD
- Leslie D. McDowell, ANP
- Karin R. McLelland, M.D.
- Kelly McNeirney, MSW
- Mallory Margaret Meiners, PA-C
- MH Mission Hospital, LLLP (Carolina Spine and Neurosurgery, a department of Mission Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.