Active NPI
Susan Evans Gore, AU.D.
- Audiologist-Hearing Aid Fitter
- Supply, NC
National Provider Identifier
1801803192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1102
- Practice address
- 2298 Ocean Hwy W
Supply, NC 28462-4024 - Phone
- (910) 755-2428
- Fax
- (910) 755-2435
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 21, 2022
- 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 | 1102 | NC | |
| Audiologist-Hearing Aid Fitter | 237600000X | 1102 | NC | Primary |
Addresses
Primary practice location
2298 Ocean Hwy W
Supply, NC 28462-4024
Mailing address
PO Box 4868
Calabash, NC 28467-9820
Phone (910) 755-2428
Other practice location 1
302 Liberty St
Whiteville, NC 28472-3714
Phone (910) 642-3675
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1075 | SC | MD | Psychologist |
| 1102 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Anesthesiology Associates, P.a. | Past | Accepting new patients | |
| Coastal Hearing Centers, Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Audiologist
- Whiteville, NC
- NPI 1740429778
-
- Hearing and Speech Clinic/Center
- Supply, NC
- NPI 1760793343
-
- Hearing and Speech Clinic/Center
- Little River, SC
- NPI 1629631650
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801803192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4868",
"city": "CALABASH",
"state": "NC",
"postal_code": "284679820",
"telephone_number": "910-755-2428",
"fax_number": "910-755-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2298 OCEAN HWY W",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284624024",
"telephone_number": "910-755-2428",
"fax_number": "910-755-2435"
}
],
"practiceLocations": [
{
"address_1": "302 Liberty St",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "284723714",
"country_code": "US",
"telephone_number": "910-642-3675",
"fax_number": "910-755-2435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORE",
"first_name": "SUSAN",
"middle_name": "EVANS",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "1102",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": "1102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Supply, NC
- William Stewart Futch Jr., MD
- Galloway Sands LLC (Galloway Sands Pharmacy)
- Galloway Sands, LLC (Galloway-Sands Pharmacy)
- Joseph Richmond Galloway Jr., RPH
- Susan Dennie Gibble, PA
- Charles Daniel Hall, M.D.
- Gina M. Hamilton, MSW, LCSW
- Sabrina Elizabeth Harkey, AUD
- Carla Harper-Martinez, LCSWA
- Ryan Austin Harrell, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.