Active NPI
Eneida Agolli, AU.D.
- Audiologist
- Greensboro, NC
National Provider Identifier
1770967424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 11304
- Practice address
- 532 N Elam Ave
Greensboro, NC 27403-1146 - Phone
- (336) 850-4095
- Fax
- (663) 852-4097
- NPI assigned
- Jul 13, 2015
- Last updated
- Mar 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 11304 | NC | Primary |
Addresses
Primary practice location
532 N Elam Ave
Greensboro, NC 27403-1146
Mailing address
750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380
Other practice location 1
328 N Fayetteville St
Asheboro, NC 27203-5592
Phone (336) 629-6574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11304 | NC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hearing Clinic, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Hearing Aid Equipment
- Nottingham, MD
- NPI 1750915054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1770967424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N COMMONS DR STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605047940",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 N ELAM AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031146",
"telephone_number": "336-850-4095",
"fax_number": "663-852-4097"
}
],
"practiceLocations": [
{
"address_1": "328 N Fayetteville St",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272035592",
"country_code": "US",
"telephone_number": "336-629-6574",
"fax_number": "336-629-6631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGOLLI",
"first_name": "ENEIDA",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "11304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.