Active NPI
Iop Services LLC
- Adult Mental Health Clinic/Center
- Charlotte, NC
National Provider Identifier
1245019553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- IOP SERVICES LLC
- Practice address
- 10200 Mallard Creek Rd Ste 102
Charlotte, NC 28262-9720 - Phone
- (704) 275-1910
- Fax
- (205) 709-2975
- NPI assigned
- Sep 26, 2023
- Last updated
- Jul 10, 2024
- Organization subpart
- Yes
- Parent organization
- IOP SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Garry Grayson, MD
- Title
- Owner
- Phone
- (205) 709-2970
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
10200 Mallard Creek Rd Ste 102
Charlotte, NC 28262-9720
Mailing address
PO Box 11407 Dept# 8184
Birmingham, AL 35246-8184
Phone (205) 709-2970
National Provider Directory
National Provider Directory- Tax ID family
- Iop Services LLC
- Part of
- Iop Services LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Chattanooga, TN
- NPI 1992584205
Locations
10200 Mallard Creek Rd
Charlotte, NC 28262
10200 Mallard Creek Rd
Ste 102
Charlotte, NC 28262
Phone (704) 275-1910
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1497337349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1245019553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407 DEPT# 8184",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352468184",
"telephone_number": "205-709-2970",
"fax_number": "205-709-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 MALLARD CREEK RD STE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282629720",
"telephone_number": "704-275-1910",
"fax_number": "205-709-2975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IOP SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "IOP SERVICES LLC",
"enumeration_date": "2023-09-26",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "GRAYSON",
"authorized_official_first_name": "GARRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-709-2970",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.