1. Home
  2. Directory
  3. South Carolina
  4. Rock Hill
  5. Otolaryngology
  6. NPI Profile

EAR NOSE THROAT & AUDIOLOGY ASSOCIATES
NPI 1366632655
Otolaryngology in Rock Hill, SC

Active since August 01, 2007
744 ARDEN LN, SUITE 200, ROCK HILL, SC 29732(803) 328-3686(803) 328-9889 Get Directions Write a Review

NPPES record last updated: August 14, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ear Nose Throat & Audiology Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAR NOSE THROAT & AUDIOLOGY ASSOCIATES (NPI 1366632655) is a healthcare organization registered as an otolaryngology in Rock Hill, South Carolina and active in the NPI registry since August 2007. The organization lists Leroy Broadnax, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366632655
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameEAR NOSE THROAT & AUDIOLOGY ASSOCIATES
Location Address744 ARDEN LN, SUITE 200Rock Hill, SC 29732-2984
Mailing Address8334 Pineville Matthews Rd, Suite 103-151Charlotte, NC 28226-3774 · (803) 328-3686 · Fax (803) 328-9889
Phone(803) 328-3686
Fax(803) 328-9889
Organization SubpartYesParent: Ear Nose Throat & Audiology Associates Of The Carolinas, P.a.
Authorized OfficialLeroy BroadnaxOffice Manager · (803) 328-3686
Enumeration DateAugust 1, 2007
Last NPPES UpdateAugust 14, 2015
✔ NPI 1366632655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
744 ARDEN LN, Rock Hill, SC 29732
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN8346SC
MedicaidGP4146SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ear Nose Throat & Audiology Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Ear Nose Throat & Audiology Associates, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Melody Fuller
Nurse Practitioner
NPI 1639786932
744 ARDEN LN STE 200
Rock Hill, SC 29732
(803) 787-6453
✔ PECOSSame address
Andrea Williams, MD
Otolaryngology
NPI 1992759971
7006 SHANNON WILLOW RD
Charlotte, NC 28226
(704) 544-6533
✔ PECOS✔ Accepts Medicare15 mi
Wayne Wilkens, NP
Nurse Practitioner
NPI 1164942892
1225 HARDING PL STE 2100
Charlotte, NC 28204
(704) 331-9669
✔ PECOS✔ Accepts Medicare21 mi
Gershom Douglas, APNP
Nurse Practitioner
NPI 1902568942
1019 N LAFAYETTE ST STE 1
Shelby, NC 28150
(704) 487-9766
✔ PECOS✔ Accepts Medicare37 mi
Niccole Mount, NP
Nurse Practitioner
NPI 1427073758
111 DOCTOR CIR
Columbia, SC 29203
(800) 491-0909
✔ PECOS64 mi
Josselyn Cash, FNP-C
Nurse Practitioner
NPI 1730690397
TAYLOR AT MARION STREET
Columbia, SC 29220
(803) 434-6771
✔ PECOS✔ Accepts Medicare66 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ear Nose Throat & Audiology Associates's NPI number?

The NPI number for Ear Nose Throat & Audiology Associates is 1366632655. It was assigned to this organization in the NPPES registry on August 1, 2007.

Where is Ear Nose Throat & Audiology Associates located?

Ear Nose Throat & Audiology Associates is located at 744 Arden Ln Suite 200, Rock Hill, SC 29732. The listed phone number is (803) 328-3686.

What is Ear Nose Throat & Audiology Associates's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ear Nose Throat & Audiology Associates enrolled in Medicare?

Yes. Ear Nose Throat & Audiology Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ear Nose Throat & Audiology Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Ear Nose Throat & Audiology Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Otolaryngology (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ear Nose Throat & Audiology Associates accept?

Health plans from BlueCross BlueShield of South Carolina and InStil Health list Ear Nose Throat & Audiology Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ear Nose Throat & Audiology Associates was last updated on August 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.