Active NPI
Tommi Michelle Gray Stanley, M.S. CCC-A
- Audiologist
- North Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3410
- Practice address
- 1016 2ND Ave N Ste 102
North Myrtle Beach, SC 29582-3287 - Phone
- (843) 732-6090
- Fax
- (843) 491-3573
- NPI assigned
- May 20, 2008
- Last updated
- Jan 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3410 | SC | Primary |
Addresses
Primary practice location
1016 2ND Ave N Ste 102
North Myrtle Beach, SC 29582-3287
Mailing address
1016 2ND Ave N Ste 102
North Myrtle Beach, SC 29582-3287
Phone (843) 732-6090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1158 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- West Virginia University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1016 2ND Ave N
Suite 102
North Myrtle Beach, SC 29582-3287
Phone (843) 732-6090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Strand Hearing, LLC | Audiologist | Current | Accepting new patients |
| Carolina Speech and Hearing, Inc. | Audiologist | Past | Accepting new patients |
Locations
1016 2nd Ave N
Ste 102
North Myrtle Beach, SC 29582
Phone (843) 732-6090
Organizations & group practices 2
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.
-
dba Grand Strand Audiology
- Audiologist
- North Myrtle Beach, SC
- NPI 1790161669
-
dba Carolina Health and Hearing
- Audiologist
- West Columbia, SC
- NPI 1376054908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1639336332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 2ND AVE N STE 102",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823287",
"telephone_number": "843-732-6090",
"fax_number": "843-491-3573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 2ND AVE N STE 102",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823287",
"telephone_number": "843-732-6090",
"fax_number": "843-491-3573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY STANLEY",
"first_name": "TOMMI",
"middle_name": "MICHELLE",
"credential": "M.S. CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "3410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA1158",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
- Grace Family Services Inc
- Evan Scott Grainger, D.C.
- Grand Strand Hearing, LLC (Grand Strand Audiology)
- Grand Strand Regional Medical Center, LLC (North Strand Emergency Room, a department of HCA Healthcare Grand Strand Hospital)
- Abella Grant
- Jasmine A Greene, MA, LPC-A
- Rene' Antoinette Grego
- Amanda Elizabeth Hall, FNP
- Beverly Reese Hall
- Jacob W Hamilton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.