Individual provider Active NPI

Courtney Marie Palmiere, AUD

  • Audiologist
  • Rock Hill, SC
National Provider Identifier
1972145399
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
13610 Issued in NC
Practice address
154 Amendment Ave Ste 107
Rock Hill, SC 29732-3156
Phone
(346) 291-2206
NPI assigned
Oct 17, 2019
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 13610 NC Primary

Addresses

Primary practice location

154 Amendment Ave Ste 107
Rock Hill, SC 29732-3156

Mailing address

154 Amendment Ave Ste 107
Rock Hill, SC 29732-3156
Phone (803) 670-8961

Other practice location 1

6414 Rea Rd Ste C
Charlotte, NC 28277-3877
Phone (980) 498-0022

Other names 1

  • Courtney Marie Wallace Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://www.audiologyofnc.com/ 1st Choice Hearing Care Center
Other URL https://www.myaudiologycenter.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, GA, IA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20251202001039 FL Practitioner - Qualified Audiologist 7315353042 Reassigns benefits to 1 organization
I20260319003742 SC Practitioner - Qualified Audiologist 7315353042 Reassigns benefits to 1 organization
I20260331004735 GA Practitioner - Qualified Audiologist 7315353042 Reassigns benefits to 1 organization
I20260507000872 IA Practitioner - Qualified Audiologist 7315353042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11767 S Dixie Hwy
Suite 122
Pinecrest, FL 33156

11767 S Dixie Hwy
Suite 122
Pinecrest, FL 33156-4438

11767 S Dixie Hwy 122
Miami, FL 33156-4438

95 W Main St
Suite 240
Chester, NJ 07930-2487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7992SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Real Hearing USA LLC Audiologist CurrentSince Oct 6, 2025 Accepting new patients
Alpaca Audiology, LLC Audiologist PastSince Oct 1, 2019 Accepting new patients

Locations

4626 26th St W
Bradenton, FL 34207
Phone (941) 232-1290

11767 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 422-1008

1215 George C Wilson Dr
Ste 3A
Augusta, GA 30909
Phone (706) 364-2378

430 W 35th St
Stop 2
Davenport, IA 52806
Phone (563) 362-9529

154 Amendment Ave
Ste 107
Rock Hill, SC 29732
Phone (803) 324-2273

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.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1972145399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 AMENDMENT AVE STE 107",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323156",
            "telephone_number": "803-670-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 AMENDMENT AVE STE 107",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323156",
            "telephone_number": "346-291-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6414 Rea Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773877",
            "country_code": "US",
            "telephone_number": "980-498-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMIERE",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "13610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.audiologyofnc.com/",
            "affiliation": "Y",
            "affiliationName": "1st Choice Hearing Care Center",
            "address_1": "6414 Rea Rd Ste C",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282773877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.myaudiologycenter.com/",
            "affiliation": "N",
            "address_1": "154 Amendment Ave Ste 107",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297323156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "WALLACE",
            "middle_name": "MARIE",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.

Verify at the official NPI Registry.