NPIMap

Organization Active NPI

Catawba Valley Medical Group, Inc

Doing business as Catawba Valley Family Medicine-Graystone

  • Family Medicine Physician
  • Conover, NC
National Provider Identifier
1386093482
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CATAWBA VALLEY MEDICAL GROUP, INC
Doing business as
Catawba Valley Family Medicine-Graystone
Practice address
3511 Graystone PL SE
Conover, NC 28613-8201
Phone
(828) 732-5600
Fax
(828) 732-5601
NPI assigned
Jun 9, 2016
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CATAWBA VALLEY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Pamela Gallagher
Title
VP of Finance/Cfo
Phone
(828) 326-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3511 Graystone PL SE
Conover, NC 28613-8201

Mailing address

PO Box 890273
Charlotte, NC 28289-0273
Phone (828) 326-9355

Other names 1

  • CATAWBA VALLEY FAMILY MEDICINE-GRAYSTONE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120420000030 NC Part B Supplier - Clinic/Group Practice 6305007279 Receives reassigned benefits from 162 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hickory, NC; Lenoir, NC; Maiden, NC; Newton, NC; Sherrills Ford, NC; Sherrills FRD, NC; Taylorsville, NC; Claremont, NC…

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

National Provider Directory

National Provider Directory
Part of
Catawba Valley Medical C

Locations

3511 Graystone Pl SE
Conover, NC 28613
Phone (828) 326-9355

24 2nd Ave NE
Hickory, NC 28601
Phone (828) 324-9900

3022 N Center St
Ste A
Hickory, NC 28601
Phone (828) 326-3800

3900 Terrell Park Dr
Ste 100
Sherrills Frd, NC 28673
Phone (828) 732-5450

174 Bolick Ln
Ste 202
Taylorsville, NC 28681
Phone (828) 495-8226

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1386093482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890273",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890273",
            "telephone_number": "828-326-9355",
            "fax_number": "828-326-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 GRAYSTONE PL SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138201",
            "telephone_number": "828-732-5600",
            "fax_number": "828-732-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA VALLEY MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATAWBA VALLEY MEDICAL CENTER",
        "enumeration_date": "2016-06-09",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "VP OF FINANCE/CFO",
        "authorized_official_telephone_number": "828-326-3800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CATAWBA VALLEY FAMILY MEDICINE-GRAYSTONE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CATAWBA VALLEY FAMILY MEDICINE-GRAYSTONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.