Individual provider Active NPI

Rachael Cathrynn Gravel, PA

  • Physician Assistant
  • Salisbury, NC
National Provider Identifier
1972234409
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12264 Issued in NC
Practice address
530 Corporate Cir Ste 200
Salisbury, NC 28147-8074
Phone
(704) 637-7590
Fax
(704) 316-1880
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 0010-12264 NC Primary

Addresses

Primary practice location

530 Corporate Cir Ste 200
Salisbury, NC 28147-8074

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

2225 E W T Harris Blvd Unit B
Charlotte, NC 28213-5385
Phone (704) 509-0933

Other practice location 2

860 Jake Alexander Blvd W
Salisbury, NC 28147-1220
Phone (704) 637-7590

Other identifiers 1

IdentifierTypeStateIssuer
0010-12264OtherNCNCMB

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250310001007 NC Practitioner - Physician Assistant 7517488372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572

530 Corporate Cir
Salisbury, NC 28147-8074

Hospital & facility affiliations

  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-12264NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jan 17, 2025 Accepting new patients
Novant Medical Group, Inc. CurrentSince Jan 17, 2025 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Carohealth Associates, PLLC PastSince Jun 1, 2022 Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

1035 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (704) 316-1886

530 Corporate Cir
#200
Salisbury, NC 28147
Phone (704) 637-7590

860 Jake Alexander Blvd W
Salisbury, NC 28147
Phone (704) 637-1123

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: rgravel1649104@direct.novanthealth.org

Organizations & group practices 5

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 1

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1972234409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CORPORATE CIR STE 200",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281478074",
            "telephone_number": "704-637-7590",
            "fax_number": "704-316-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 E W T Harris Blvd Unit B",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282135385",
            "country_code": "US",
            "telephone_number": "704-509-0933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 Jake Alexander Blvd W",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281471220",
            "country_code": "US",
            "telephone_number": "704-637-7590",
            "fax_number": "704-316-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVEL",
        "first_name": "RACHAEL",
        "middle_name": "CATHRYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCMB",
            "identifier": "0010-12264",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.