Active NPI
Grey Wilson Fortenbery
- Plastic Surgery Physician
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 202501299
- Practice address
- 315 19TH St SE BLDG 100
Hickory, NC 28602-4230 - Phone
- (828) 328-3500
- Fax
- (828) 328-8777
- NPI assigned
- Mar 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Plastic Surgery Physician | 208200000X | 202501299 | NC | Primary |
Addresses
Primary practice location
315 19TH St SE BLDG 100
Hickory, NC 28602-4230
Mailing address
1072 X Ray Dr
Gastonia, NC 28054-7488
Phone (980) 399-6330
Other practice location 1
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-4780
Other practice location 2
1927 3rd Avenue Ln SE
Hickory, NC 28602-2960
Phone (828) 328-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Brody School of Medicine at East Carolina University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
315 19TH St SE
Hickory, NC 28602-4230
Phone (828) 325-9849
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 74 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202501299 | NC | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Plastic Surgery & Dermatology PA | Current | Accepting new patients | |
| Piedmont Plastic Surgery and Dermatology | Past | Accepting new patients |
Locations
959 Cox Rd
Gastonia, NC 28054
Phone (704) 866-0106
1072 X Ray Dr
Gastonia, NC 28054
Phone (704) 671-1094
315 19th St SE
Bldg 200
Hickory, NC 28602
315 19th St SE
Hickory, NC 28602
Phone (828) 325-9849
1927 3rd Avenue Ln SE
Hickory, NC 28602
Phone (828) 328-3500
315 19th St SE
Bldg 100
Hickory, NC 28602
Phone (828) 325-9849
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Gastonia, NC
- NPI 1801832837
-
- Dermatology Physician
- Shelby, NC
- NPI 1316056104
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1518426865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547488",
"telephone_number": "980-399-6330",
"fax_number": "704-671-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 19TH ST SE BLDG 100",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024230",
"telephone_number": "828-328-3500",
"fax_number": "828-328-8777"
}
],
"practiceLocations": [
{
"address_1": "11100 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441061716",
"country_code": "US",
"telephone_number": "216-844-4780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1927 3rd Avenue Ln SE",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286022960",
"country_code": "US",
"telephone_number": "828-328-3500",
"fax_number": "828-328-8777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTENBERY",
"first_name": "GREY",
"middle_name": "WILSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-17",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NC",
"license": "202501299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.