NPIMap

Organization Active NPI

Professional Audiology Group, LLC

Doing business as Audiology & Hearing Center of Ave Maria

  • Audiologist
  • Cary, NC
National Provider Identifier
1760290613
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
PROFESSIONAL AUDIOLOGY GROUP, LLC
Doing business as
Audiology & Hearing Center of Ave Maria
Audiology & Hearing Center of Bonita Springs
Audiology & Hearing Center of Fort Myers4 more in Other names
Practice address
115 Parkway Office CT Ste 100
Cary, NC 27518-7431
Phone
(919) 851-3800
Fax
(704) 251-6746
NPI assigned
Dec 24, 2024
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Joel Parker
Title
Senior Vice President
Phone
(479) 422-6890

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X
Audiologist 231H00000X Primary
Hearing Instrument Specialist 237700000X

Addresses

Primary practice location

115 Parkway Office CT Ste 100
Cary, NC 27518-7431

Mailing address

149 Plantation Ridge Dr Ste 140
Mooresville, NC 28117-9175
Phone (704) 360-4788

Other practice location 1

209 Florence Ave
Granger, IN 46530-8048
Phone (574) 246-1000

Other practice location 2

16450 San Carlos Blvd
Fort Myers, FL 33908-3287
Phone (239) 415-0727

Other practice location 3

24810 Burnt Pine Dr Ste 2
Bonita Springs, FL 34134-1973
Phone (239) 260-9563

Other practice location 4

1224 Del Prado Blvd S Ste C
Cape Coral, FL 33990-3670
Phone (239) 230-3799

Other practice location 5

5064 Annunciation Cir Ste 103
Ave Maria, FL 34142-9676
Phone (239) 455-4655

Other practice location 6

2390 Tamiami Trl N Ste 106
Naples, FL 34103-4483
Phone (239) 263-4372

Other names 7

  • Audiology & Hearing Center of Ave Maria Doing business as
  • Audiology & Hearing Center of Bonita Springs Doing business as
  • Audiology & Hearing Center of Fort Myers Doing business as
  • Audiology & Hearing Center of Naples Doing business as
  • Campbell Hearing Solutions Doing business as
  • Cary Audiology Associates Doing business as
  • Chippendale Audiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NC, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250227000666 IN Part B Supplier - Clinic/Group Practice 9537689088 Receives reassigned benefits from 2 practitioners
Practice locations: Granger, IN
O20250305000742 NC Part B Supplier - Clinic/Group Practice 9537689088 Receives reassigned benefits from 4 practitioners
Practice locations: Cary, NC
O20250806002048 FL Part B Supplier - Clinic/Group Practice 9537689088 Receives reassigned benefits from 2 practitioners
Practice locations: Ave Maria, FL; Bonita Springs, FL; Fort Myers, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

16450 San Carlos Blvd
Fort Myers, FL 33908
Phone (239) 415-0727

2390 Tamiami Trl N
Ste 106
Naples, FL 34103
Phone (239) 263-4372

209 Florence Ave
Granger, IN 46530
Phone (574) 246-1000

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1760290613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 PLANTATION RIDGE DR STE 140",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179175",
            "telephone_number": "704-360-4788",
            "fax_number": "704-251-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PARKWAY OFFICE CT STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187431",
            "telephone_number": "919-851-3800",
            "fax_number": "704-251-6746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Granger",
            "state": "IN",
            "postal_code": "465308048",
            "country_code": "US",
            "telephone_number": "574-246-1000",
            "fax_number": "704-251-6746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16450 San Carlos Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083287",
            "country_code": "US",
            "telephone_number": "239-415-0727",
            "fax_number": "704-251-6746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24810 Burnt Pine Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341341973",
            "country_code": "US",
            "telephone_number": "239-260-9563",
            "fax_number": "704-251-6746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 Del Prado Blvd S Ste C",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903670",
            "country_code": "US",
            "telephone_number": "239-230-3799",
            "fax_number": "704-251-6746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5064 Annunciation Cir Ste 103",
            "address_purpose": "LOCATION",
            "city": "Ave Maria",
            "state": "FL",
            "postal_code": "341429676",
            "country_code": "US",
            "telephone_number": "239-455-4655",
            "fax_number": "704-251-6746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2390 Tamiami Trl N Ste 106",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341034483",
            "country_code": "US",
            "telephone_number": "239-263-4372",
            "fax_number": "704-251-6746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL AUDIOLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "479-422-6890"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audiology & Hearing Center of Ave Maria",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Audiology & Hearing Center of Bonita Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Audiology & Hearing Center of Fort Myers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Audiology & Hearing Center of Naples",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Campbell Hearing Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cary Audiology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chippendale Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.