Active NPI
Graper Cosmetic Surgery
- Plastic Surgery Physician
- Charlotte, NC
National Provider Identifier
1821398611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 33669
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1061274 | Graper Cosmetic Surgery | Certificate of waiver | Nov 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.
-
- Surgery Physician
- Charlotte, NC
- NPI 1831585850
-
- Plastic and Reconstructive Surgery Physician
- Charlotte, NC
- NPI 1043346570
-
- Plastic Surgery Physician
- Charlotte, NC
- NPI 1396866273
-
- Student in an Organized Health Care Education/Training Program
- Chattanooga, TN
- NPI 1265851505
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.