Individual provider Active NPI

Thomas Emil Gross, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Mooresville, NC
National Provider Identifier
1073568283
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
37838 Issued in NC
Practice address
417 E Statesville Ave
Mooresville, NC 28115-2590
Phone
(704) 663-3063
Fax
(704) 663-4873
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 37838 NC Primary

Addresses

Primary practice location

417 E Statesville Ave
Mooresville, NC 28115-2590

Mailing address

417 E Statesville Ave
Mooresville, NC 28115-2590
Phone (704) 663-3063

Other identifiers 1

IdentifierTypeStateIssuer
8937738MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thomas.gross.1@4693.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080927000209 NC Practitioner - Family Practice 9537236856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

417 E Statesville Ave
Mooresville, NC 28115-2590
Phone (704) 663-3063

548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00-37838NCMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. Family Medicine CurrentSince Apr 1, 2025 Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

417 E Statesville Ave
Mooresville, NC 28115
Phone (704) 663-3063

131 Medical Park Rd
Ste 302
Mooresville, NC 28117
Phone (704) 660-4750

Interoperability endpoints

  • Direct secure messaging: tgross623276@direct.medicine.duke.edu
  • Direct secure messaging: thomas.gross.1@4693.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1073568283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E STATESVILLE AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152590",
            "telephone_number": "704-663-3063",
            "fax_number": "704-663-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E STATESVILLE AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152590",
            "telephone_number": "704-663-3063",
            "fax_number": "704-663-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "THOMAS",
        "middle_name": "EMIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "37838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937738",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.gross.1@4693.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct access",
            "address_1": "417 E Statesville Ave",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281152590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.