Active NPI
Vein Specialists of the Carolinas, PA
- Surgery Physician
- Gastonia, NC
National Provider Identifier
1346337094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9300088
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6929158 | Medicaid | NC |
Other names 1
- Draughn Surgical Clinic
National Provider Directory
National Provider DirectoryLocations
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.