GRAPER COSMETIC SURGERY NPI 1821398611

NPI Information

  • NPI: 1821398611
  • Provider Name: GRAPER COSMETIC SURGERY
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • CLIA Number: 34D1061274
  • Address: 2915 COLTSGATE RD
    SUITE 103
    CHARLOTTE, NC
    ZIP 28211
  • Phone: (704) 375-7111

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NPI Details

GRAPER COSMETIC SURGERY is a plastic surgery in Charlotte, NC. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. GRAPER COSMETIC SURGERY NPI is 1821398611. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2915 COLTSGATE RD
SUITE 103
CHARLOTTE, NC
ZIP 28211-882
Phone: (704) 375-7111
Fax: (704) 375-0444

The provider's authorized official is Carla Gibson .
The authorized official title is Office Manager and has the following contact phone number (704) 375-7111.

The CLIA number assigned to this NPI record is 34D1061274 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2010 and was last updated on 10/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic Surgery33669NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B87946MEDICARE UPINNORTH CAROLINA
22142544CMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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