Michael Francis Graybar Jr., DC
Individual provider Active NPI Chiropractor · Wallace, NC
NPI 1053372540 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1053372540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2141 (NC)
- Practice address
- 116 N Norwood St
Wallace, NC 28466 - Phone
- (910) 285-7222
- Fax
- (910) 285-7229
- NPI assigned
- Apr 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Graybar Chiropractic Inc
Practice addresses (Care Compare)
2110 S 17TH St
Wilmington, NC 28401-7408
Phone (910) 343-5250
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050309000468 | NC | Practitioner - Chiropractic | 9638123979 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2141 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graybar Chiropractic, Inc. | Chiropractor | Current |
Accepting new patients |
| Graybar-Clinton, Inc | Chiropractor | Current | Accepting new patients |
| Graybar Chiropractic, Inc. | Current | Accepting new patients | |
| Advanced Integrated Medical | Past | Accepting new patients |
Locations
600 Beaman St
Clinton, NC 28328
Phone (910) 285-7222
116 N Norwood St
Wallace, NC 28466
Phone (910) 285-7222
2110 S 17th St
Wilmington, NC 28401
Phone (910) 343-5250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2141 | NC | Yes |
Addresses
Primary practice location
116 N Norwood St
Wallace, NC 28466
Mailing address
PO Box 15033
Wilmington, NC 28401
Phone (910) 285-7222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0832Q | Other | NC | BCBSNC |
| 2141 | Other | NC | STATE LICENSE |
| 890832Q | Medicaid | NC |
Other providers in Wallace, NC
- Glover Enterprizes LLC
- Nataliya Goings
- Julie Eileen Gore
- Goshen Medical Center Incorporated
- Graybar Chiropractic, Inc.
- Ryan Michael Graybar
- Lori Hartley
- Crystal Rose Havens
- Tyler Hawke
- Helping Hands Care Management Services
All providers in Wallace, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.