Individual provider Active NPI

Grayson Gabrilla McClamrock, FNP

  • Nurse Practitioner
  • Davidson, NC
National Provider Identifier
1194643163
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5024851 Issued in NC
Practice address
2101 Shiloh Church Rd Ste 202
Davidson, NC 28036-7603
Phone
(704) 403-7800
NPI assigned
Jul 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5024851 NC Primary

Addresses

Primary practice location

2101 Shiloh Church Rd Ste 202
Davidson, NC 28036-7603

Mailing address

508 Goldmoor Dr NE
Concord, NC 28025-2516
Phone (704) 796-8796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1194643163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GOLDMOOR DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252516",
            "telephone_number": "704-796-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SHILOH CHURCH RD STE 202",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367603",
            "telephone_number": "704-403-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAMROCK",
        "first_name": "GRAYSON",
        "middle_name": "GABRILLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.