Provider Demographics
NPI:1104864545
Name:PELKEY, SHERRYL ANN (AUD)
Entity Type:Individual
Prefix:
First Name:SHERRYL
Middle Name:ANN
Last Name:PELKEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27216-0002
Mailing Address - Country:US
Mailing Address - Phone:336-226-0660
Mailing Address - Fax:336-227-6327
Practice Address - Street 1:4030 OAKS PROFESSIONAL PKWY STE 201
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8491
Practice Address - Country:US
Practice Address - Phone:336-226-0660
Practice Address - Fax:336-227-6327
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4125231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1104864545OtherBCBS
NC856OtherNC HEARING AID DEALERS BD
NC7413048Medicaid
NC2520996AMedicare PIN