Gracie George

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30003873 Issued in NC

Practice address

711 W Independence Blvd
Mount Airy, NC 27030-3576

Phone

(855) 983-0488

NPI assigned

May 5, 2025

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kidology, Inc

  • Physical Therapist
  • Lincolnton, NC
  • NPI 1730591991
  Medicare reassignment NPD

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1992594162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 BROADWAY AVE",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270309137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W INDEPENDENCE BLVD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303576",
            "telephone_number": "855-983-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "GRACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Mardell Gatchel, LCSW
• Genesis
• Genesis Rehab. Services
• Genesis Rehabilitation
• Michael James Gentry
• Richard Wayne Gilreath, DDS
• Karin Frances Giordano, M.D.
• Kenneth D Gitt, MD
• Katlin Isaacs Goin
• Alton Paul Gravitte, PHARMACIST

• Speech-Language Pathologist in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.