Carolina Hearing Doctors, Inc.
Organization Active NPI Audiologist-Hearing Aid Fitter · Clemmons, NC
NPI 1962534818 · NPPES record last updated Aug 6, 2007
Key facts
- NPI
- 1962534818
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist-Hearing Aid Fitter 237600000X
- License
- 2116 (NC)
- Legal business name
- CAROLINA HEARING DOCTORS, INC.
- Practice address
- 3780 Clemmons Rd Ste a
Clemmons, NC 27012-7515 - Phone
- (336) 766-2677
- Fax
- (336) 778-2277
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Carlon Scott Mills, AU.D.
- Title
- President
- Phone
- (336) 766-2677
Practitioners 2
-
Kimberly Caldwell Hobson, M.A., CCC-A,
-
C. Scott Mills, AU.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070927000774 | NC | Part B Supplier - Clinic/Group Practice | 5890880447 |
Receives reassigned benefits from 2 practitioners Practice locations: Clemmons, NC; Winston Salem, NC |
National Provider Directory
Locations
3780 Clemmons Rd
Ste A
Clemmons, NC 27012
Phone (336) 766-2677
3740 Vest Mill Rd
Winston Salem, NC 27103
Phone (336) 794-8212
3720 Vest Mill Rd
Winston Salem, NC 27103
Phone (336) 659-6135
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter |
237600000X | 2116 | NC | Yes |
Addresses
Primary practice location
3780 Clemmons Rd Ste a
Clemmons, NC 27012-7515
Mailing address
3780 Clemmons Rd Ste a
Clemmons, NC 27012-7515
Phone (336) 766-2677
NPI Registry JSON
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186358400000",
"number": "1962534818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3780 CLEMMONS RD STE A",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270127515",
"telephone_number": "336-766-2677",
"fax_number": "336-778-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 CLEMMONS RD STE A",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270127515",
"telephone_number": "336-766-2677",
"fax_number": "336-778-2277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA HEARING DOCTORS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2007-08-06",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "CARLON",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-766-2677",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": "2116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
- Candace Denise Campbell
- Thane Robert Campbell
- Manuel Alejandro Cano
- Carenet, Inc.
- Carillon Assisted Living of Clemmons, LLC
- Carolina Medicorp Enterprises, Inc
- Lisa D Carpenter
- Danielle Marguerite Carter Adkins
- Melissa H Casstevens
- Susannah Sharpe Cecil
All providers in Clemmons, NC · Audiologist-Hearing Aid Fitter in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.