Active NPI
Tom A Gross, DC
- Neurology Chiropractor
- Horse Shoe, NC
National Provider Identifier
1104860014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- NC2118
- Practice address
- 4144 Haywood Rd
Ste 4
Horse Shoe, NC 28742 - Phone
- (828) 891-8868
- Fax
- (828) 891-8897
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | NC2118 | NC | Primary |
Addresses
Primary practice location
4144 Haywood Rd
Ste 4
Horse Shoe, NC 28742
Mailing address
21 Clement Dr
Horse Shoe, NC 28742
Phone (828) 891-8868
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0847B | Other | NC | NC STATE HEALTH PLAN |
| 0847B | Other | NC | BLUE CROSS OF NC |
| 890847B | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4170 Haywood Rd
Mills River, NC 28759-9740
Phone (828) 891-8868
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC2118 | NC | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mills River Family Chiropractic, PA | Neurology | Current | Accepting new patients |
Locations
4144 Haywood Rd
Ste D
Mills River, NC 28759
Phone (828) 891-8868
4170 Haywood Rd
Mills River, NC 28759
Phone (828) 891-8868
Organizations & group practices 1
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": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1104860014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CLEMENT DR",
"city": "HORSE SHOE",
"state": "NC",
"postal_code": "28742",
"telephone_number": "828-891-8868",
"fax_number": "828-891-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4144 HAYWOOD RD",
"address_2": "STE 4",
"city": "HORSE SHOE",
"state": "NC",
"postal_code": "28742",
"telephone_number": "828-891-8868",
"fax_number": "828-891-8897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "TOM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "NC",
"license": "NC2118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE HEALTH PLAN",
"identifier": "0847B",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NC",
"identifier": "0847B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890847B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Horse Shoe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.