Active NPI
Jodi Stutts Hogan, MS.,CCC-A
- Audiologist
- Burlington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4267
- Practice address
- 1248 Huffman Mill Rd Ste 200
Burlington, NC 27215-8700 - Phone
- (336) 395-1315
- NPI assigned
- Apr 16, 2007
- Last updated
- Apr 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4267 | NC | Primary |
Addresses
Primary practice location
1248 Huffman Mill Rd Ste 200
Burlington, NC 27215-8700
Mailing address
PO Box 2
1248 Huffman Mill Road, Suite 200
Burlington, NC 27216-0002
Phone (336) 395-1315
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902021652 | Other | NC | BCBS |
| 7413050 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3940 Arrowhead Blvd
Suite 210
Mebane, NC 27302-7637
Phone (919) 563-9705
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4267 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamance Ear Nose and Throat, LLP | Audiologist | Current | Accepting new patients |
| Byrnett Surgical Associates PLLC | Past | Accepting new patients |
Locations
1248 Huffman Mill Rd
Ste 200
Burlington, NC 27215
Phone (336) 226-0660
4030 Oaks Professional Pkwy
Ste 201
Burlington, NC 27215
Phone (336) 226-0660
3940 Arrowhead Blvd
Ste 210
Mebane, NC 27302
Phone (336) 226-8000
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.
-
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- NPI 1417909409
Audiologist
-
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- Burlington, NC
- NPI 1932713492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1902021652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2",
"address_2": "1248 HUFFMAN MILL ROAD, SUITE 200",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272160002",
"telephone_number": "336-395-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 HUFFMAN MILL RD STE 200",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158700",
"telephone_number": "336-395-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "JODI",
"middle_name": "STUTTS",
"credential": "MS.,CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "4267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1902021652",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7413050",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.