Organization Active NPI

Graystone Family Healthcare PA

  • Family Medicine Physician
  • Conover, NC
National Provider Identifier
1144300062
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRAYSTONE FAMILY HEALTHCARE PA
Practice address
3511 Graystone PL
Conover, NC 28613-8201
Phone
(828) 326-9355
Fax
(828) 326-9868
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Steven Allen Gold, MDMPH
Title
President
Phone
(828) 326-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3511 Graystone PL
Conover, NC 28613-8201

Mailing address

3511 Graystone PL
Conover, NC 28613-8201
Phone (828) 326-9355

Other identifiers 2

IdentifierTypeStateIssuer
014V9OtherNCBLUE CROSS
89014V9MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1144300062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 GRAYSTONE PL",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138201",
            "telephone_number": "828-326-9355",
            "fax_number": "828-326-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 GRAYSTONE PL",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138201",
            "telephone_number": "828-326-9355",
            "fax_number": "828-326-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSTONE FAMILY HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-326-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MDMPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "014V9",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014V9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.