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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2007.

{
    "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

All providers in Clemmons, NC · Audiologist-Hearing Aid Fitter in North Carolina

Sources for this page

Verify at the official NPI Registry.