Grace McLaurin, PA-C
Individual provider Active NPI Medical Physician Assistant · Hickory, NC
NPI 1366441149 · NPPES record last updated Feb 11, 2015
Key facts
- NPI
- 1366441149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 101986 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Jan 10, 2018 through Jan 10, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101986 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Woman'S View PA | Past | Accepting new patients | |
| Mountain View Chiropractic Center PLLC | Past | Accepting new patients | |
| Carolina Treatment Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 101986 | NC | Yes |
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
Other providers in Hickory, NC
- McKinney & Graham PLLC
- Elizabeth Hall McKinney
- Kyle McKinney
- Cynara McKinstry
- Kalen Quinn McLamb
- James Martin McLean
- Susan McLean
- McLeod Centers for Wellbeing
- Lacy McMahan
- Kevin Edward McMahon
All providers in Hickory, NC · Medical Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.