Organization Active NPI

Vein Specialists of the Carolinas, PA

  • Surgery Physician
  • Gastonia, NC
National Provider Identifier
1346337094
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9300088 Issued in NC
Legal business name
VEIN SPECIALISTS OF THE CAROLINAS, PA
Practice address
860 Summit Crossing Place
Suite 120
Gastonia, NC 28054
Phone
(704) 861-2072
Fax
(704) 854-3996
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Dr. David Gardner Draughn, MD, FACS, RVT,RPVI
Title
President
Phone
(704) 861-2072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 9300088 NC Primary

Addresses

Primary practice location

860 Summit Crossing Place
Suite 120
Gastonia, NC 28054

Mailing address

860 Summit Crossing PL
Suite 120
Gastonia, NC 28054-2216
Phone (704) 861-2072

Other practice location 1

15825 Ballantyne Medical Pl Ste 240
Charlotte, NC 28277-4790
Phone (704) 544-5245

Other identifiers 1

IdentifierTypeStateIssuer
6929158MedicaidNC

Other names 1

  • Draughn Surgical Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

15825 Ballantyne Medical Pl
Ste 240
Charlotte, NC 28277
Phone 3019822000190

2555 Court Dr
Ste 440
Gastonia, NC 28054
Phone (855) 851-4802

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1346337094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 SUMMIT CROSSING PL",
            "address_2": "SUITE 120",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542216",
            "telephone_number": "704-861-2072",
            "fax_number": "704-854-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 SUMMIT CROSSING PLACE",
            "address_2": "SUITE 120",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "704-861-2072",
            "fax_number": "704-854-3996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15825 Ballantyne Medical Pl Ste 240",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282774790",
            "country_code": "US",
            "telephone_number": "704-544-5245",
            "fax_number": "704-854-3996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VEIN SPECIALISTS OF THE CAROLINAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "DRAUGHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GARDNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-861-2072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS, RVT,RPVI"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "9300088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6929158",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Draughn Surgical Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Draughn Surgical Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.