SOUTH LAKE AUDIOLOGY, INC.
NPI 1578058806
Clinic/Center - Hearing and Speech in Huntersville, NC

Active since June 28, 2018
8936 N POINTE EXECUTIVE PARK DR STE 195, HUNTERSVILLE, NC 28078(704) 237-4099(704) 237-4095 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2026, Apr 22, 2020, Feb 21, 2020 and 4 more (7 updates tracked since 2018).

About South Lake Audiology, Inc. NPPES

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

SOUTH LAKE AUDIOLOGY, INC. (NPI 1578058806), doing business as Birkdale Audiology, is a healthcare organization registered as a hearing and speech in Huntersville, North Carolina and active in the NPI registry since June 2018. The organization lists Kelly Clarke Knolhoff, Owner/audiologist, as its authorized official.

NPPES Registry Identity

NPI1578058806
Entity TypeOrganization
Primary Taxonomy261QH0700X
Legal Business NameSOUTH LAKE AUDIOLOGY, INC.
Location Address8936 N POINTE EXECUTIVE PARK DR STE 195Huntersville, NC 28078-0811
Mailing Address8936 N Pointe Executive Park Dr Ste 195Huntersville, NC 28078-0811 · (704) 237-4099 · Fax (704) 237-4095
Fax(704) 237-4095
Organization SubpartNo
Authorized OfficialKelly Clarke KnolhoffOwner/audiologist · (704) 237-4099
Enumeration DateJune 28, 2018
Last NPPES UpdateJanuary 7, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1578058806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Hearing and SpeechAmbulatory Health Care Facilities
Taxonomy Code261QH0700X
License✔ Licensed in NC · 7851
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
8936 N POINTE EXECUTIVE PARK DR STE 195, Huntersville, NC 28078

Other Names 1

Doing Business AsBirkdale Audiology

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Lake Audiology, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to South Lake Audiology, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Qualified Audiologist
NPI 1255535100
8600 SAM FURR RD STE 250
Huntersville, NC 28078
(704) 237-4099
1.4 mi
Qualified Audiologist
NPI 1679148001
127 BEN CASEY DR STE 105
Fort Mill, SC 29708
(803) 547-4327
27 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 South Lake Audiology, Inc.'s NPI number?

The NPI number for South Lake Audiology, Inc. is 1578058806. It was assigned to this organization in the NPPES registry on June 28, 2018. The provider is doing business as Birkdale Audiology.

Where is South Lake Audiology, Inc. located?

South Lake Audiology, Inc. is located at 8936 N Pointe Executive Park Dr Ste 195, Huntersville, NC 28078. The listed phone number is (704) 237-4099.

What is South Lake Audiology, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Hearing and Speech, with taxonomy code 261QH0700X.

Is South Lake Audiology, Inc. enrolled in Medicare?

Yes. South Lake Audiology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Lake Audiology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Qualified Audiologist, reassign their Medicare billing to South Lake Audiology, Inc.. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Lake Audiology, Inc. was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.