Lara Royster Gray, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

4578 Issued in NC

Practice address

857 S Beckford Dr
Suite H
Henderson, NC 27536-3486

Phone

(252) 430-7744

Fax

(252) 430-0917

NPI assigned

Aug 17, 2006

Last updated

Jul 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 14

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Area Hearing Center, LLC

  • Audiologist-Hearing Aid Fitter
  • Henderson, NC
  • NPI 1942526462
  Medicare reassignment NPD Authorized official
• Granville Health Inc

  dba Granville Urology Associates

  • Urology Physician
  • Oxford, NC
  • NPI 1336380708
  Medicare reassignment NPD
• Richard A Goldstein, MD

  • Otolaryngology Physician
  • Henderson, NC
  • NPI 1255396198
  Medicare reassignment
• Granville Health Inc.

  dba Granville Orthopaedics

  • Orthopaedic Surgery Physician
  • Oxford, NC
  • NPI 1851934293
  NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1669585915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 S BECKFORD DR",
            "address_2": "SUITE H",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363486",
            "telephone_number": "252-430-7744",
            "fax_number": "252-430-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 S BECKFORD DR",
            "address_2": "SUITE H",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363486",
            "telephone_number": "252-430-7744",
            "fax_number": "252-430-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LARA",
        "middle_name": "ROYSTER",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "4578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "11852",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHSOURCE",
            "identifier": "56-2260112A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001565",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARIA PARHAM HOSPITAL",
            "identifier": "56-2260112",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7400006",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411476",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MECOST",
            "identifier": "85707",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "56-2260112",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAXTON MEDICAL GROUP",
            "identifier": "56-2260112",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDEAL FASTENERS",
            "identifier": "56-2260112",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRANVILLE MEDICAL CENTER",
            "identifier": "56-2260112",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "640004163",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404255",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211020",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Parker Grant
• Granville Vance Community Health Inc. (Clinical Services)
• Granville-Vance District Health Department (Granville-Vance Home Health Agency)
• Nancy Gray-Terry, MSW, LCSW
• Brandon S Gray, COHC
• Green & Co. Wellness Collective, PLLC
• Green Rural Redevelopment Organization
• Green-Bullock Assisted Living Center
• Shaneicia D Green, LCSW
• Tyree Jonta Green, LCSWA

• Audiologist-Hearing Aid Fitter in Henderson, NC
• Providers in Henderson, NC by specialty
• Audiologist-Hearing Aid Fitter in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.