Coastal Hearing Centers, Inc
Organization Active NPI Audiologist · Whiteville, NC
NPI 1740429778 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1740429778
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- License
- 1102 (NC)
- Legal business name
- COASTAL HEARING CENTERS, INC
- Practice address
- 302 Liberty Street
Whiteville, NC 28472 - Phone
- (910) 642-3675
- NPI assigned
- Feb 15, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Susan Evans Gore, AU.D.
- Title
- President
- Phone
- (910) 671-5014
Corporate family (same tax ID) 3
Practitioners 9
-
Sue A Clampitt, AUDIOLOGIST
-
Lauren Dexter Miller, AUD
-
Joshua David Cillo, AU.D
-
Katelyn Wolfe, AUD
-
Elizabeth Anne Hoene, AU.D.
-
Nicholas Alan Bailey, AU.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150901000117 | NC | Part B Supplier - Clinic/Group Practice | 8921314352 |
Receives reassigned benefits from 8 practitioners Practice locations: Supply, NC; Whiteville, NC |
| O20180216000960 | SC | Part B Supplier - Clinic/Group Practice | 8921314352 |
Receives reassigned benefits from 6 practitioners Practice locations: Little River, SC; North Myrtle Beach, SC |
National Provider Directory
- Tax ID family
- Coastal Hearing Centers
Locations
412 Main St
North Myrtle Beach, SC 29582
Phone (843) 281-0014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | 1102 | NC | Yes |
Addresses
Primary practice location
302 Liberty Street
Whiteville, NC 28472
Mailing address
PO Box 1679
Shallotte, NC 28459-1679
Phone (910) 755-2428
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 740183B | Medicaid | NC |
NPI Registry JSON
{
"created_epoch": "1234656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774915200000",
"number": "1740429778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1679",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284591679",
"telephone_number": "910-755-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 LIBERTY STREET",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "28472",
"telephone_number": "910-642-3675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL HEARING CENTERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-15",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A",
"authorized_official_last_name": "GORE",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "EVANS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-671-5014",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "NC",
"license": "1102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "740183B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whiteville, NC
- Coastal Carolina ENT DO PA
- Coastal Carolina Neonatology, PLLC
- Coastal Community Management LLC
- Coastal Comprehensive Care PA
- Coastal Family Urgent Care, P.a.
- Coastal Horizons Center Inc
- Coastal Horizons Center, Inc
- Coastal Vision Center OD PA
- Shernika Cobbs
- Andrew Bryant Collins
All providers in Whiteville, NC · Audiologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.