NPIMap

Organization Active NPI

Graystone Ear, Nose and Throat Associates, PA

  • Otolaryngology Physician
  • Hickory, NC
National Provider Identifier
1528020732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
38984 Issued in NC
Legal business name
GRAYSTONE EAR, NOSE AND THROAT ASSOCIATES, PA
Practice address
1781 Tate Blvd SE
Suite 201
Hickory, NC 28602-4233
Phone
(828) 322-3725
Fax
(828) 322-2389
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert C. Williams, M.D.NPI 1174584932
Title
President
Phone
(828) 322-3725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 38984 NC Primary

Addresses

Primary practice location

1781 Tate Blvd SE
Suite 201
Hickory, NC 28602-4233

Mailing address

1781 Tate Blvd SE
Suite 201
Hickory, NC 28602-4233
Phone (828) 322-3725

Other identifiers 1

IdentifierTypeStateIssuer
8902352MedicaidNC

National Provider Directory

National Provider Directory

Locations

1470 E Gaston St
Ste 100
Lincolnton, NC 28092

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528020732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 TATE BLVD SE",
            "address_2": "SUITE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024233",
            "telephone_number": "828-322-3725",
            "fax_number": "828-322-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 TATE BLVD SE",
            "address_2": "SUITE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024233",
            "telephone_number": "828-322-3725",
            "fax_number": "828-322-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSTONE EAR, NOSE AND THROAT ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-322-3725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "38984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902352",
            "state": "NC"
        }
    ],
    "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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.