Kathy Lynn Gross, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

27464 Issued in NC

Practice address

114 Kinderton Blvd
Advance, NC 27006-7302

Phone

(336) 998-9742

Fax

(336) 998-9410

NPI assigned

Apr 6, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1972565661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DRIVE",
            "address_2": "SUITE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627254",
            "telephone_number": "336-802-2400",
            "fax_number": "336-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 KINDERTON BLVD",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067302",
            "telephone_number": "336-998-9742",
            "fax_number": "336-998-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "27464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911983",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaston Family Health Services, Inc.
• Gaston Family Health Services, Inc.
• Heather L Gladd, MS., CCC-SLP
• Amanda Janel Goad, NP
• Carol Derosa Grabow, PA-C
• Chad Richard Hall, LPTA
• Christian Connor Hall, C.P.N.P
• Lindsay Tatum Hartman, NP
• Thomas Dustin Hayes, PHARM.D.
• Aubrey Allen Hess, MD

• Pediatrics Physician in Advance, NC
• Providers in Advance, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.