Charles M Gross, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

200200031 Issued in NC

Practice address

32 Physician Drive
Clyde, NC 28721-8486

Phone

(828) 564-9222

Fax

(828) 564-9228

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Western Carolina Cardiology

  • Specialist
  • Clyde, NC
  • NPI 1164466447
  NPD (past)
• East Tennessee Heart Consultants, P.C.

  • Cardiovascular Disease Physician
  • Knoxville, TN
  • NPI 1740583541

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1174589485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PHYSICIAN DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218486",
            "telephone_number": "828-564-9222",
            "fax_number": "828-564-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PHYSICIAN DRIVE",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218486",
            "telephone_number": "828-564-9222",
            "fax_number": "828-564-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200200031",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200200031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130MM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron James Giese, P.A.
• Mary Elizabeth Goforth, DPT
• Amber Reece Golden, RN
• Steven Marshall Gore, MEDICAL DOCTOR MD
• Jon Barkley Grady, PA-C
• Jay Weston Grosse, M.D.
• Kristin C. Gruner, PA
• James Daniel Guerriere Jr., M.D.
• Tiffany Jenann Hallmark
• Steven D. Hammel, M.D.

• Cardiovascular Disease Physician in Clyde, NC
• Providers in Clyde, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.