Individual provider Active NPI

Tom A Gross, DC

  • Neurology Chiropractor
  • Horse Shoe, NC
National Provider Identifier
1104860014
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
NC2118 Issued in NC
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

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0847BOtherNCNC STATE HEALTH PLAN
0847BOtherNCBLUE CROSS OF NC
890847BMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070928000248 NC Practitioner - Chiropractic 1254423742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mills River Family Chiropractic, PAGroup PAC ID 4981796463, 2 clinicians

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

LicenseStateTypeSpecialty
NC2118NCMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mills River Family Chiropractic, PA Neurology CurrentSince Nov 6, 1994 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.

Verify at the official NPI Registry.