Individual provider Active NPI

Theodore Flint Gray III, M.D.

  • Hematology & Oncology Physician
  • Hickory, NC
National Provider Identifier
1730199480
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
38346 Issued in NC
Practice address
2406 Century PL SE
Hickory, NC 28602
Phone
(828) 324-9550
Fax
(828) 624-4154
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38346 NC
Hematology & Oncology Physician 207RH0003X 38346 NC Primary

Addresses

Primary practice location

2406 Century PL SE
Hickory, NC 28602

Mailing address

PO Box 3710
Hickory, NC 28603-3710
Phone (828) 324-9550

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070801000088 NC Practitioner - Medical Oncology 5092806315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Emory University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashe Memorial Hospital IncGroup PAC ID 7315912870, shared by 5 NPIs, 12 clinicians
Carolina Oncology Specialist PAGroup PAC ID 5193720498, 17 clinicians

Practice addresses (Care Compare)

200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 246-7101

2406 Century PL SE
Hickory, NC 28602-4031
Phone (828) 324-9550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.97 of 100Reported as individual
Quality
88.67
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Oncology Specialist PA Hematology & Oncology CurrentSince Feb 11, 2018 Accepting new patients

Locations

2406 Century Pl SE
Hickory, NC 28602
Phone (828) 324-9550

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1730199480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3710",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286033710",
            "telephone_number": "828-324-9550",
            "fax_number": "828-624-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 CENTURY PL SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28602",
            "telephone_number": "828-324-9550",
            "fax_number": "828-624-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "THEODORE",
        "middle_name": "FLINT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "38346",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "38346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.