| David M Grack, PA-C | |
|
110 Lake Concord Rd Ne, Concord, NC 28025-2918 | |
| (704) 792-2672 | |
| Not Available |
| Full Name | David M Grack |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 110 Lake Concord Rd Ne, Concord, North Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871599035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA002518L (Pennsylvania) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 0010-06205 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atrium Health Cabarrus | Concord, NC | Hospital |
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Atrium Health University City | Charlotte, NC | Hospital |
| Atrium Health Stanly | Albemarle, NC | Hospital |
| Atrium Health Lincoln | Lincolnton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Neurosurgery And Spine Associates Pa | 7214833375 | 104 |
| Atrium Health Neurospine Network Llc | 1052800588 | 121 |
| Comprehab, Inc | 2769653757 | 376 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1992 |
| Carolina Physical Therapy Associates Llc | 7012989684 | 496 |
| Atrium Health Neurospine Network Llc | 1052800588 | 121 |
| Entity Name | Carolina Neurosurgery & Spine Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154384568 PECOS PAC ID: 7214833375 Enrollment ID: O20031209001069 |
| Entity Name | Atrium Health Neurospine Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033007695 PECOS PAC ID: 1052800588 Enrollment ID: O20251027000738 |
| Mailing Address | Practice Location Address |
|---|---|
| David M Grack, PA-C 225 Baldwin Ave, Charlotte, NC 28204-3109 Ph: (704) 376-1605 | David M Grack, PA-C 110 Lake Concord Rd Ne, Concord, NC 28025-2918 Ph: (704) 792-2672 |
Gina Dimartino, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1028 Lee-ann Drive, Ne, Suite 200, Concord, NC 28025 Phone: 704-782-1892 |
Shivangi Manu Patel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664 |
Makeda Tiye Young, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr Ste 430, Concord, NC 28025 Phone: 704-403-7070 |
Stacey Butler Gipe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025 Phone: 704-786-6521 |
Melinda Daye, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5641 Poplar Tent Rd, Suite 101, Concord, NC 28027 Phone: 704-782-1955 |
Natalia Kohl Becker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 952-237-6564 |
Caitlin Marie Cleary, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 354 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-786-5122 Fax: 704-782-8279 |