Individual provider Active NPI

John Gray Norris, MD

  • Allergy & Immunology Physician
  • Charlotte, NC
National Provider Identifier
1114952322
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
95-00677 Issued in NC
Practice address
2600 E 7TH St
Unit a
Charlotte, NC 28204-4375
Phone
(704) 372-7900
Fax
(704) 376-2216
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 9500677 NC
Allergy & Immunology Physician 207K00000X 95-00677 NC Primary
Allergy & Immunology Physician 207K00000X 20140 SC
Allergy & Immunology Physician 207K00000X 042376 GA

Addresses

Primary practice location

2600 E 7TH St
Unit a
Charlotte, NC 28204-4375

Mailing address

PO Box 63376
Charlotte, NC 28263-3376
Phone (704) 372-7900

Other identifiers 4

IdentifierTypeStateIssuer
89111QMedicaidNC
PC6542GROUPMedicaidSC
BCBSOtherNC01284
N00677MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100218000472 NC Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 0941352462 Reassigns benefits to 1 organization
I20100505000887 SC Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 0941352462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Medical College of Georgia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

114 Lee St
Shelby, NC 28150-3839
Phone (704) 372-7900

11840 Southmore Dr
Suite 175
Charlotte, NC 28277-4466
Phone (704) 372-7900

19475 Old Jetton Rd
Suite 100
Cornelius, NC 28031-6591
Phone (704) 658-1122

2600 E 7TH St
Unit a
Charlotte, NC 28204-4319
Phone (704) 372-7900

420 Herlong Ave S
Suite 101
Rock Hill, SC 29732-1091
Phone (803) 327-2355

8401 Univeristy Blvd
Suite 128
Charlotte, NC 28262-1358
Phone (704) 503-1521

855 Sam Newell Rd
Suite 206
Matthews, NC 28105-7594
Phone (704) 372-7900

900 Branchview Dr
Suite 100
Concord, NC 28025-2216
Phone (704) 792-1131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042376GAMDAllergy & Immunology Physician
95-00677NCMDAllergy & Immunology Physician
9500677NCMDAllergy & Immunology Physician
20140SCMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Asthma and Allergy Center PA Allergy & Immunology CurrentSince Jul 1, 1998 Accepting new patients

Locations

11840 Southmore Dr
Ste 175
Charlotte, NC 28277

14135 Ballantyne Corporate Pl
Ste 225
Charlotte, NC 28277
Phone (704) 316-2930

5970 Fairview Rd
Ste 500
Charlotte, NC 28210
Phone (704) 680-3140

2600 E 7th St
Unit A
Charlotte, NC 28204
Phone (704) 998-0840

8401 University Exec Park Dr
Ste 128
Charlotte, NC 28262

900 Branchview Dr NE
Ste 100
Concord, NC 28025
Phone (704) 792-1131

19475 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5136

912 2nd St NE
Hickory, NC 28601
Phone (828) 267-1916

15940 Northcross Dr
Ste C
Huntersville, NC 28078
Phone (704) 655-1466

855 Sam Newell Rd
Ste 206
Matthews, NC 28105
Phone (704) 341-9600

1315 E Sunset Dr
Ste 203
Monroe, NC 28112
Phone (704) 288-4650

1995 Wellness Blvd
Ste 200
Monroe, NC 28110
Phone (704) 289-3900

311 Williamson Rd
Ste 100
Mooresville, NC 28117
Phone (704) 664-2552

197 Piedmont Blvd
#109
Rock Hill, SC 29732
Phone (803) 327-2355

420 Herlong Ave S
Ste 101
Rock Hill, SC 29732
Phone (803) 327-2355

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.norris.p1@direct.caac.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1114952322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63376",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633376",
            "telephone_number": "704-372-7900",
            "fax_number": "704-376-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 7TH ST",
            "address_2": "UNIT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044375",
            "telephone_number": "704-372-7900",
            "fax_number": "704-376-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "JOHN",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "9500677",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "95-00677",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "SC",
            "license": "20140",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "042376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89111Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC6542GROUP",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "01284",
            "identifier": "BCBS",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00677",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.