Organization Active NPI

Graper Cosmetic Surgery

  • Plastic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1821398611
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
33669 Issued in NC
Legal business name
GRAPER COSMETIC SURGERY
Practice address
2915 Coltsgate Rd
Suite 103
Charlotte, NC 28211-3882
Phone
(704) 375-7111
Fax
(704) 375-0444
NPI assigned
Oct 26, 2010
Organization subpart
Yes
Parent organization
ROBERT G. GRAPER, M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Mrs. Carla Gibson
Title
Office Manager
Phone
(704) 375-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 33669 NC Primary

Addresses

Primary practice location

2915 Coltsgate Rd
Suite 103
Charlotte, NC 28211-3882

Mailing address

2915 Coltsgate Rd
Suite 103
Charlotte, NC 28211-3882
Phone (704) 375-7111

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1061274Graper Cosmetic Surgery2915 Coltsgate Road Ste 103, Charlotte, NC 28211Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory
Part of
Graper Cosmetic Surgery

Locations

2915 Coltsgate Rd
Ste 103
Charlotte, NC 28211
Phone (704) 375-7111

2215 Randolph Rd
Charlotte, NC 28207
Phone (704) 348-2460

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1821398611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 COLTSGATE RD",
            "address_2": "SUITE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113882",
            "telephone_number": "704-375-7111",
            "fax_number": "704-375-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 COLTSGATE RD",
            "address_2": "SUITE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113882",
            "telephone_number": "704-375-7111",
            "fax_number": "704-375-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPER COSMETIC SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT G. GRAPER, M.D.",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-375-7111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "33669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.