Individual provider Active NPI

Grace McLaurin, PA-C

  • Medical Physician Assistant
  • Hickory, NC
National Provider Identifier
1366441149
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
101986 Issued in NC
Practice address
74 8TH Street SE
Suite 101
Hickory, NC 28602-4942
Phone
(828) 322-1498
Fax
(828) 322-2835
NPI assigned
Jul 14, 2005
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 101986 NC Primary

Addresses

Primary practice location

74 8TH Street SE
Suite 101
Hickory, NC 28602-4942

Mailing address

74 8TH Street SE
Suite 101
Hickory, NC 28602-4942
Phone (828) 322-1498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 10, 2018 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Chiropractic Center PLLC Past Accepting new patients
Carolina Treatment Associates Past Accepting new patients
A Woman's View PA Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1366441149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 8TH STREET SE",
            "address_2": "SUITE 101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024942",
            "telephone_number": "828-322-1498",
            "fax_number": "828-322-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 8TH STREET SE",
            "address_2": "SUITE 101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024942",
            "telephone_number": "828-322-1498",
            "fax_number": "828-322-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAURIN",
        "first_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.