Individual provider Active NPI

Cortney Nichele Zozula, AU.D.

  • Audiologist
  • Greenville, NC
National Provider Identifier
1942790969
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
850 Johns Hopkins Dr
Greenville, NC 27834-7222
Phone
(252) 752-5227
Fax
(252) 752-1191
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

850 Johns Hopkins Dr
Greenville, NC 27834-7222

Mailing address

850 Johns Hopkins Dr
Greenville, NC 27834-7222
Phone (252) 752-5227

Other names 1

  • Cortney Nichele Nettles Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821003648 NC Practitioner - Qualified Audiologist 3870842065 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13098NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stinson Mobile Aud NC PLLC Audiologist CurrentSince Jul 1, 2023 Accepting new patients
Eastern Carolina Ear, Nose & Throat-Head & Neck Surgery, Inc CurrentSince Jun 18, 2018 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

850 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 752-5227

347 Hillsborough St
Raleigh, NC 27603

800 Tiffany Blvd
Ste 101
Rocky Mount, NC 27804

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1942790969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 JOHNS HOPKINS DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347222",
            "telephone_number": "252-752-5227",
            "fax_number": "252-752-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 JOHNS HOPKINS DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347222",
            "telephone_number": "252-752-5227",
            "fax_number": "252-752-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOZULA",
        "first_name": "CORTNEY",
        "middle_name": "NICHELE",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORTNEY",
            "last_name": "NETTLES",
            "middle_name": "NICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.