Organization Active NPI

Area Hearing Center, LLC

  • Audiologist-Hearing Aid Fitter
  • Henderson, NC
National Provider Identifier
1942526462
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
4578 Issued in NC
Legal business name
AREA HEARING CENTER, LLC
Practice address
857 S Beckford Dr
Suite H
Henderson, NC 27536-3486
Phone
(252) 430-7744
Fax
(252) 430-0917
NPI assigned
Apr 8, 2010
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Lara Royster Gray, AU.D.NPI 1669585915
Title
Audiologist/Member/Manager
Phone
(252) 430-7744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 4578 NC Primary

Addresses

Primary practice location

857 S Beckford Dr
Suite H
Henderson, NC 27536-3486

Mailing address

857 S Beckford Dr
Suite H
Henderson, NC 27536-3486
Phone (252) 430-7744

Other identifiers 6

IdentifierTypeStateIssuer
3404255MedicaidNC
7400006MedicaidNC
7211020MedicaidNC
11852OtherNCBCBS
7411476MedicaidNC
7001565MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101108000560 NC Part B Supplier - Clinic/Group Practice 8123213808 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NC

National Provider Directory

National Provider Directory

Locations

450 Dabney Dr
Henderson, NC 27536
Phone (252) 430-7744

857 S Beckford Dr
Ste H
Henderson, NC 27536
Phone (252) 430-7744

Practitioners & affiliated clinicians

Practitioners 2

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": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1942526462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 S BECKFORD DR",
            "address_2": "SUITE H",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363486",
            "telephone_number": "252-430-7744",
            "fax_number": "252-430-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 S BECKFORD DR",
            "address_2": "SUITE H",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363486",
            "telephone_number": "252-430-7744",
            "fax_number": "252-430-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA HEARING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "ROYSTER",
        "authorized_official_title_or_position": "AUDIOLOGIST/MEMBER/MANAGER",
        "authorized_official_telephone_number": "252-430-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "4578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404255",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7400006",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211020",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11852",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411476",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001565",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.